abd
Abdomen
BM
Bowel Movement
Every 12 hours
q12H
To exam by touch
Palpate
Hematemesis
Vomiting blood
NPO at HS dx. HTN
Resident nothing by mouth at bedtime with a diagnosis of hypertension.
ABR
Absolute Bed Rest
BP, B/P
Blood Pressure
Occupational Safety and Health Administration
OSHA
Breathing in food, fluid or vomit into the lungs
Aspiration (Aspirate)
Gastritis
Inflammation of the stomach
AROM TID when OOB.
Active Range of Motion three times a day when out of bed.
ADLs
Activities of Daily Living
BPM
Beats per minute
Omnibus Budget Reconciliation Act
OBRA
Slow heart rate
Bradycardia
Dyspnea
Trouble breathing
Assist w/ ADLs q am as tol
Assistance with Activities of Daily Living every morning as tolerated.
AKA
Above the Knee Amputation
BR
Bedrest
Left Upper Quadrant
LUQ
Without fever
Afebrile
Thrombus
Blood clot
UA r/o UTI
Urinalysis to rule out a urinary tract infection
amb
Ambulate, Ambulatory
BRP
Bathroom Privileges
Methicillin-Resistant Staphylococcus Aureus
MRSA
Swelling
Edema
Hypotension
Low blood pressure
VS q4h until WNL
Vital Signs Every 4 Hours until they read Within Normal Limits
as tol
As Tolerated
cath
Catheter
Against medical advice
AMA
Low oxygen
Hypoxia
Atrophy
Muscle shrinking
pt SOB r/t CHF. I&O
Patient Short of Breath Related to Congestive Heart Failure. Document Intake and Output
BID, b.i.d.
Two times a day
DNR
Do not resuscitate
Percutaneous Endoscopic Gastrostomy
PEG
Fast heart rate
Tachycardia
Hematuria
Blood in urine
FS FBS AC/HS dx: DM
Finger Stick Fasting Blood Sugar before meals and at bedtime for diagnosis of Diabetes Mellitus
BKA
Below the knee amputation
TLC
Tender Loving Care
Both eyes
O.U. oculus uterque
With fever
Febrile
Dysphagia
Difficulty swallowing
N/A NA Na NAS NaCL
Not Applicable Nursing Assistant Sodium No Added Salt Sodium Chloride