health care facility
health records
health records 2
exam findings
timing
100

ICU

intensive care unit

100

HR

heart rate

100

Rx

prescription 

100

A&O

alert and oriented 

100

prn

as needed

200

pre-op

before surgery

200

BP

blood pressure

200

Tx

treatment 

200

CV

cardiovascular 

200

QD

daily

300

OR

operating room

300

Dx

diagnosis

300

CC

chief complaint 

300

SOB

shortness of breath

300

BID

twice daily

400

L&D

labour and delivery

400

y/o

years old

400

RR

respiratory rate

400

CTA

clear to auscultation 

400

AC

before meals

500

PACU

post-anesthesia care unit

500

HPI

history of present illness

500

NKDA

no know drug allergies 

500

RRR

regular rate and rhythm

500

ad lib

as desired

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