Time and time again
I saw this on the Chart
Current Health Status
Word elements from beginning to end
Shortened forms of word or phrases are
100

q2h

every 2 hours

100

dx

Diagnosis
100

NPO

Nothing by mouth

100

hypo-

under, decreased, less than normal

100

BM

Bowel movement
200

three times a day

TID

200

MAR

Medication Administration Record

200

VS

Vital signs
200

-uria

Suffix: condition of the urine

200

NIDDM

Non-insulin-dependent diabetes mellitus

300

OD

Once daily

300

Urine output

U/O

300

Tachycardia

Increased heart rate

300

crani(o)

Root word: skull

300

HTN

Hypertension

400
After meal

PC

400

ADLs

Activities of Daily Living

400

Paralysis on one side

Hemiplegia

400

cephal(o)

Root word: head

400

DNR

Do not resuscitate

500

HS or Hours of Sleep

Bedtime

500
NKA and NKDA

No known allergies 

No known drug allergies

500
Complaint of shortness of breath

c/o SOB

500

hydrocephalus

hydro- water

cephalus- head

Definition: Buildup of cerebrospinal fluid that surrounds the brain and spinal cord

500

CPR

Cardiopulmonary Resuscitation

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