General Medical
Med Admin
Charting
Off the Record
100

pt

patient

100

PO

by mouth

100

A&Ox3

alert and oriented x3

100

gtt

drop

200

hx

history

200

PRN

as needed

200
SOB

shortness of breath

200

POD

post op day

300

WNL

within normal limits

300

QID

four times a day

300

OTA

open to air

300

R/O

re order

400

VSS

vital signs stable

400

AC

before meals

400

Ax1

assist x 1

400

NYD

not yet diagnosed