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Abbreviations used in Nursing Documentation
Work on these before going to clinical--learning these will help you decipher the strange medical terminology that we use in nursing!
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| A | B |
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| ADL | activities of daily living |
| BRP | bathroom privileges |
| c (with a line over it) | with |
| a (with a line over it) | before |
| prn | as needed |
| a.c. | before meals |
| A.D. | right ear |
| ad lib | as desired |
| AKA | above the knee amputation |
| AMA | against medical advice |
| A.S. | left ear |
| A.U. | both ears |
| ax | axillary |
| bil | bilateral |
| B | bilateral |
| bid | twice a day |
| bp | blood pressure |
| BSC | bedside commode |
| c/o | complains of |
| cc | chief complaint |
| HOB | head of bed |
| hs | hour of sleep |
| H&P | history and physical |
| HX | history |
| I&D | incise and drain |
| I&O | input and output |
| IV | intravenous |
| IVPB | intravenous piggyback |
| KVO | keep vein open rate |
| L | liter |
| LLL | lower left lobe |
| LLE | left Lower Extremity |
| LLQ | left lower quadrant |
| LOC | level of consciousness |
| MAE | moves all extremities |
| NG | nasogastric |
| NKA | no known allergies |
| NKDA | no known drug allergies |
| NKFA | no known food allergies |
| NPO | nothing by mouth |
| N&V | nausea and vomiting |
| os | by mouth |
| po | by mouth |
| OD | right eye |
| OOB | out of bed |
| OTC | over the counter |
| OS | left eye |
| OU | both eyes |
| p (with a line over it) | after |
| p.c. | after meals |
| PERRLA | pupils equal, round, reactive to light with accommodation |
| PERRL | pupils equal, round, reactive to light |
| PMH | previous or past medical history |
| POD | postoperative day |
| PT | physical therapy |
| OT | occupational therapy |
| ST | speech therapy |
| q (with a line over it) | every |
| qd | every day |
| qh | every hour |
| qid | four times a day |
| qod | every other day |
| RLE | right lower extremity |
| RLL | right lower lobe |
| RLQ | right lower quadrant |
| ROM | range of motion |
| POC | plan of care |
| r/t | related to |
| RUQ | right upper quadrant |
| s (with a line over it) | without |
| SOB | shortness of breath |
| s/p | status post |
| s/s | signs and symptoms |
| tid | three times a day |
| TPR | temperature, pulse, respiration |
| tx | treatment |
| UO | urinary output |
| VS | vital signs |
| w/c | wheelchair |
| WD | warm and dry |
| WNL | within normal limits |
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Clinical Instructor, Coordinator Professional Practice Lab |
University of Oklahoma |
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