terms
Wt
weight
RR
respiratory rate
SpO2
oxygen level
Temp
temperature
VS
vital signs
WNL
SH
social history
T
temperature
R
respirations
pt
patient
SMA
student medical assistant
PSH
past surgical history
PMH
past medical history
p
pulse
OTC
over-the-counter
NKFA
no known food allergies
NKDA
no known drug allergies
NKA
no known allergies
MHx
medical history
NAD
no acute distress
SOAP
subjective, objective, assessment, plan
neg
negative
mmHg
millimeters mercury
MGM
maternal grandmother
MDF
maternal grandfather