Abbreviations
BID
Twice a day
"I feel sick"
Subjective
L&D
Labor and Delivery
Sudden onset
acute
Hx
History
AC
Before meals
Vital Signs
Objective
PICU
Pediatric Intensive Care Unit
Progressive
keeps getting worse
Family history
FHx
NKDA
No known allergies
MRI results
Objective
NICU
Neonatal Intensive Care Unit
exacerbation
A flare up of a chronic condition
Percussion
To tap and listen
CTA
Clear to auscultation
Diagnosed with Leukemia
Assessment
CCU
Cardiac Intensive Care Unit
The expected outcome....what will happen in the future
Prognosis
to feel weak and have a change in consciousness
lethargic
PERRLA
Pupils equal round and reactive to light and accommodation
Transfer to children's hospital
Plan
PACU
Post anesthesia care unit
not feeling good....an unwell feeling
malaise
Nothing of concern, nothing noted
unremarkable