Patient care & orders
Vital signs & Assessment
Body systems & positions
History & documentation
Conditions & Diagnosis
100

NPO

what is "Nothing by mouth"

100

SBP & DBP

systolic blood pressure & diastolic blood pressure

100

HOB

head of bed

100

PMH

past medical history

100

N/V

nausea & vomiting

200

BID

Twice a day

200

LOC

Level of consciousness

200

Bilat

bilateral

200

R/O

rule out

200

UTI

urinary tract infection

300

PRN

"as needed"

300

VS

vital signs

300

LUE

Left upper extremity

300

Hx

history

300

SOB

shortness of breath

400

Ad lib

"as desired" 

400

s/s

signs & symptoms

400

LLE

left lower extremity

400

DC

discontinue or discharge

400

OOB

out of bed

500

abbreviation for before meals, after meals? 

before: ac

after: pc 

500

C/D/I 

clean, dry, intact (usually wound/dressing description)

500

LUQ

Left upper quadrant

500

WNL

within normal limits

500

NKA

no known allergies

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