Health Information and Record Services - Medical Records Abbreviations

[Guest guest]

Below and attached is a handy-dandy glossary of medical abbreviations of which I have made a paper copy. It is helpful when reading ER or ambulance notes regarding crash injuries. BTW, please don't forget Grand Rounds next week on the 9th at WIllamette Spine Center.

D Freeman Mailing address: 2480 Liberty Street NE Suite 180Salem, Oregon 97303phone 503 763-3528fax 503 763-3530pager 888 501-7328

http://hirs.mc.duke.edu/recserv.nsf/web/medical+records+abbreviations

Duke University Medical CenterFREQUENTLY USED ABBREVIATIONSThe attached document is a listing of commonly used abbreviations and symbols as noted by the Committee on Health Information Policies and Services. Abbreviations and symbols should be used carefully. The meaning of the abbreviation should be easily identified from the context in which it is written.

A B C D E F G H I J K L M N O P Q R S T U V W Y

Abbreviations That Appear on the Respiratory Care Documentation From The Clinivision Information System

ABBREVIATION

DEFINITION

17 ks

Ketosteriods - 17

A/V

Artery/Vein Ratio (Retinal)

A

Assessment.

A/V BG

Arteriovenous Blood Gas

A - fib

Atrial Fibrillation

A/C

Assist/Control

~

Before

A.sat

Arterial Saturation

A & Ox3

Alert & Oriented To Person, Place and Time

A & Ox4

Alert & Oriented To Person, Place, Time and Event

A & P

Anterior and Posterior

A2<P2

Aortic 2nd Heart Sound is Less Than Pulmonic 2nd Sound

A2>P2

Aortic 2nd Heart Sound is Greater Than Pulmonic 2nd Sound

aa

Of Each

Ab

Antibody

ABC

Automated Blood Counts

Abd

Abdominal

Abd.Poll.

Abductor Pollicis

ABG

Arterial Blood Gases

ABI

Ankle Brachial Index

ABO

Blood Types A, B & O (generic term)

ac

Ante Cibum - Before Meals

AC Joint

Acromioclavicular Joint

ACD

Anticoagulant Citrate Dextrose Solution

ACT

Activated Clotting Time

ActH

Adrenocorticotropic Hormone

ACU

Acute Care Unit

ad lib

Ad Libitum = at Pleasure; at Discretion

ADA

Adult Diabetes Association (Diet)

Add

Bifocal Addition (Ophth)

ADH

Antidiuretic Hormone

ADL

Activities for Daily Living

AFDC

Aid to Families with Dependant Children

AGA

Appropriate for Gestational Age

AGL

Acute Granulocytic Leukemia

AHA

American Heart Association

AIDS

Acquired Immunodeficiency Syndrome

Alk Phos

Alkaline Phosphatase

ALL

Acute Lymphocytic Leukemia

ALT

Alanine Aminotransferase

am

Ante Meridiem = Before Noon

AMA

Against Medical Advise

Amb

Ambulance

amb

ambulate

AMI

Acute (or Anterior) Myocardial Infarction

ANC

Absolute Neutrophil Count

Anes

Anesthesia

Ant. Tib.

Anterior Tibial

Ante

Ante = Before

AODM

Adult Onset Diabetes Mellitus

APTT

Activated Partial Thromboplastin Time

asa

Aspirin

ASAP

As Soon As Possible

ASCVD

Arteriosclerotic Cardiovasular Disease

ASD

Atrial Septal Defect

ASO

Anti-Streptolysin O Titer

ASPVD

Atherosclerotic Peripheral Vascular Disease

AST

Aspartate Aminotransferase

AVO2 diff

Arterial Venous Oxygen Difference

AVO2

Arteriovenous Oxygen

B

Black

B (circled)

Biliary

B-hCG

Human Chorionic Gonadotropin

BAG

Brachial Arteriograms

BCBS

Blue Cross Blue Shield

BD

Base Down (Ophth)

BE

Barium Enema

BG

Blood Glucose

BI

Base In (Ophth)

bib

Bibe = Drink

bid

Bis In Die = Twice A Day

Bil

Bilateral

bili

Bilirubin

BM

Bowel Movement

BMR

Basal Metabolic Rate

BO

Base Out (Ophth)

BOM

Bilateral Otitis Media

BP

Blood Pressure

BPH

Benign Prostatic Hypertrophy

BR

Bathroom

BRP

Bathroom Privileges

bs

Bowel Sounds or Breath Sounds

BSA

Body Surface Area

BSO

Bilateral Salpingo-oophorectomy

BSP

Bromsulfophthalein

BTL

Bilateral Tubal Ligation

BU

Base Up (Ophth)

BUN

Blood Urea Nitrogen

Bx

Biopsy

c/o

Complains of

C

Clearance; Centigrade

C/D ratio

Cup/Disc Ratio

C. spine

Cervical Spine

C-SPINE

Cervical Spine

C & S

Culture and Sensitivity

C1;C2; etc.

First Cervical Vertebra; Second Cervical Vertebra, etc.

C3 - C4

Complement Components 3-4

Ca

Calcium

CA

Carcinoma

CABG

Cornary Artery Bypass Graft

CAD

Coronary Artery Disease

CAG

Carotid Arteriogram

Cath

Catheter, Catheterization

CBC

Complete Blood Count

cc

Cubic Centimeters

CC

Chief Complaint

cc U/A

Clean Catch Urine Analysis

CC Urine

Clean Catch Urine

CCU

Cardiac Care Unit

CDC

Calculated Date of Confinement

CEA

Carcinoembryonic Antigen

CF

Count Fingers

CHD

Congenital Heart Disease

Chem

Chemistry

CHF

Congestive Heart Failure

CHI

Closed Head Injury

CHO

Carbohydrate

chr

Chronic

CI

Cardiac Index

Cl

Chloride

cm

Centimeter

CMFS

Cranialmaxillofacial (craniofacial) service

cmv

Cytomegalovirus

CNS

Central Nervous System (or) Clinical Nurse Specialist

CO

Cardiac Output

CO2

Carbon Dioxide

Coarct

Coarctation

COLD

Chronic Obstructive Lung Disease

COPD

Chronic Obstructive Pulmonary Disease

CP

Cerebral Palsy (or) Chest Pain

CPAP

Continuous Positive Airway Pressure

CPC

Clinical Pathological Conference

CPK

Creatine Phosphokinase

CPR

Cardiopulmonary Resuscitation

CPS

Central Processing Service

CPT

Child Protection Team

Cr

Creatine

CRF

Chronic Renal Failure

CRIF

Closed Reduction, Internal Fixation

C/S

Cesarean Section

CSF

Cerebro - Spinal Fluid

CSHS

Child Special Health Services

CT

Computerized Tomography

CVA

Cerebro-vascular Accident

CVP

Central Venous Pressure

Cx

Cervix

CXR

Chest X-Ray

d

Day

D/C

Discontinue

D. spine

Dorsal Spine

D & C

Dilation and Curettage

D1; D2; etc.

First Dorsal Vertebra; Second Dorsal Vertebra; etc.

D5R

Dextrose in Ringer's Solution - 5%

D5W

Dextrose in Water - 5%

dB

Decibels

DC

Discharge

DCS

Dorsal Column Stimulater

DCSR

Discharges Special Routing

Derm

Dermatology

Det Ret

Retinal Detachment

DIC

Disseminated Intravascular Coagulation

Diff

Differential

DIP

Distal Interphalangeal Joint

DJD

Degenerative Joint Disease

dl

Deciliter

DLCO

Diffusing Capacity Lung Carbon Monoxide

DM

Diabetes Mellitus

DMI

Diaphragmatic Myocardial Infarction

DOA

Dead on Arrival

DOB

Date of Birth

DOE

Dyspnea on Exertion

DOL

Day of Life

DPL

Diagnostic Peritoneal Lavage

DPed

Dorsalis Pedus

DPT

Diphtheria, Pertussis, Tetanus

Drsg.

Dressing

DTRs

Deep Tendon Reflexes

DVT

Deep Vein Thrombosis

Dx

Diagnosis

DYS

Days

E

Esophoria

E (T)

Esotropia (Intermittent)

E.D.C.

Estimated Date of Confinement

EBV-Ab

Epstein Barr Virus Antibody

ECMO

Extracorporeal Membrane Oxygenation

ECRB

Extensor Carpi Radialis Brevis

ECRL

Extensor Carpi Radialis Longus

ECT

Electroseizure Therapy (also see EST)

ECU

Extensor Carpi Ulnaris

ED

Emergency Department

EDC

Extensor Digitorum Communis

EEG

Electro-encephalogram, - graph

EENT

Eye, Ear, Nose and Throat

EF

Ejection Fraction

eg

Exempli Gratia = For Example

EGD

Esophagogastroduodenoscopy

EJ

External Jugular

EKG

Electrocardiogram, - graph

EMG

Electromyography

EMS

Emergency Medical System (or Service)

ENT

Ear, Nose and Throat

EOB

Edge of Bed

EOM

Extraocular Movements

EP

Electrophysiology

EPB

Extensor Pollicis Brevis

EPL

Extensor Pollicis Longus

ER

Emergency Room

ERCP

Endoscopic Retrograde Cholangio Pancreatography

ERG

Electroretinogram

EST

Electroseizure Therapy

Et

Esotropia

ET

Endotracheal

ETA

Estimated Time of Arrival

ETOH

Ethanol

ETS

Endotracheal Suctioning

ETT

Endotracheal Tube

Eval

Evaluation

Exoph

Exophthalmometer Reading

Ext

Extremity

F/U

Follow-Up

F

Female

FBS

Fasting Blood Sugar

FCU

Flexor Carpi Ulnaris

FDAR

Focus, Data, Action, Response

FDP

Flexor Digitorum Profundus

FDS

Flexor Digitorum Sublimis

Fe SO4

Ferrous Sulfate

FEF

Forced Exploratory Flow

FEV

Forced Exploratory Volume

FFP

Fresh Frozen Plasma

FH

Family History

FIO2

Fraction of Inspired Oxygen

fl

Femtoliter = 1 x 10-15 Liter

Fl (fld)

Fluidum = Fluid

Fl. oz

Fluid Ounce

fmol

Femtomole = 1 x 10-15 Mole

FNP

Family Nurse Practioner

FOB

Foot of Bed

Fr.

French

FSH

Follicle Stimulating Hormone

ft

Foot (12 inches)

FTA-Abs

Fluorescent Treponemal Antibody Absorption

FTN

Full Term Nursery

FUO

Fever of Unknown Origin

FVC

Forced Vital Capacity

FVFG

Free Vascularized Fibular Graft

Fx

Fracture

g

Gram

G

Good (muscle)

GB

Gallbladder

GC

Gonorrhea, Gonococcus, Gonococcal

GCS

Glascow Coma Scale

GI

Gastrointestinal

Glu

Glucose

GN

Glomerulonephritis

Gr

Granum = Grain

GSU

General Surgery Unit

GSW

Gun Shot Wound

gtt

Gutta = Drop

GTT

Glucose Tolerance Test

GU

Genitourinary (Urogenital)

Gyn

Gynecology

h

hour

H/A

Headache

H.O.

House Officer

H2O

Water

HC

Head Circumference

HCG

Human Chorionic Gonadotropin

HCO2

Bicarbonate

Hct

Hematrocrit

HCVD

Hypertensive Cardiovascular Disease

hgb

Hemoglobin

HGH

Human Growth Hormone

HH

Hiatal Hernia

HI

Head Injury

HIV

Human Immunodeficiency Virus

HM

Hand Motions

HNP

Herniated Nucleus Pulposus

HOB

Head of Bed

/HPF

Per High Power Field

HPI

History of Present Illness

HRR

Color Vision Plates (Ophth)

hs

Hour of Sleep

Ht

Height

HT

Hypertropia

HTLA

High Titer Low Avidity

HTN

Hypertension

HVD

Hypertensive Vascular Disease

Hx

History

Hz

Hertz (Cycles per Second)

I & O

Intake and Output

IABP

Intra Aortic Balloon Pump

IBW

Ideal Body Weight

ICC

Interventional Cardiac Cath

ICCE

Intracapsular Cataract Extraction

ICF

Intermediate Care Facility

ICN

Intensive Care Nursery

IDM

Infant of a Diabetic Mother

IgG

Immunoglobulin G

IJ

Internal Juglar

IM

Intramuscular

IMI

Inferior Myocardial Infarction

Imp

Impression

IMV

Intermittant Mandatory Ventilation

inj.

Injury

Int. Med.

Internal Medicine

IOP

Intraocular Pressure

IPPB

Intermittent Positive Pressure Breathing

IQ

Intelligence Quotient

IRU

Inpatient Rehabilitiation Unit

IUGR

Intrauterine Growth Retardation

IUP

Intrauterine Pregnancy

IV

Intravenous

IVP

Intravenous Pyelogram

IVU

Intravenous Urogram

JRA

Juvenile Rheumatoid Arthritis

Jt

Joint

k

Kilo

K

Potassium

KCl

Potassium Chloride

kg

Kilgram (1,000 Grams)

KHz

Thousand Hz

kj

Knee Jerk

ks

Kilosecond (1,000 Seconds)

KUB

Kidney, Ureter and Bladder

KVO

Keep Vein Open

l

Liter

L (circled)

Left

L. spine

Lumber spine

L & A

Light and Accomodation (This is a Reaction of the Pupils)

L & D

Labor and Delivery

L1; L2; etc.

First Lumbar Vertebra; Second Lumbar Vertebra; etc.

LA

Left Atrium

lab

Laboratory

Lac

Laceration

LAM

Left Atrial Mean

LBP

Lower Back Pain

LDH

Lactate Dehydrogenase

LE

Lower Extremity

LFT

Liguide Function Test

LGA

Large for Gestational Age (Used on Newborn)

LH

Luteinizing Hormone

LIO

Left Inferior Oblique

LIR

Left Inferior Rectus

LLE

Left Lower Extremity

LLL

Left Lower Lid (or) Left Lower Lobe

LLQ

Left Lower Quadrant

LLR

Left Lateral Rectus

LMP

Last Menstrual Period

LOA

Left Occipito - Anterior

loc

Loss of Consciousness

LP

Light Perception (Ophth); Lumbar Puncture

LR

Lactacted Ringer's Solution

LSO

Left Superior Oblique

LSR

Left Superior Rectus

LSTC

Laparascopic Tubal Cautery

LUE

Left Upper Extremity

LUL

Left Upper Lid (or) Left Upper Lobe

LUQ

Left Upper Quadrant

LV

Left Ventricle

LWBS

Left Without Being Seen

M

Male

mA

Milliamps

MAP

Mean Arterial Pressure

MAST

Military Antishock Trousers

MCL

Mid - Clavicular Line

MCP

Metacarpal Phalangeal

MCV

Mean Arterial Pressure

Meds

Medications

mEq

Milliequivalent

mg

Milligram - 1 x 10-3 gram

Mg

Magnesium

MgSO4

Magnesium Sulfate

MH

Malignant Hyperthermia

MI

Myocardial Infarction; Mitral Insufficiency

MICU

Medical Intensive Care Unit

min

Minute

Misc.

Miscellaneous

mj

Millijoules

ml

Milliliter = 1 x 10-3 Liter

mm

Millimeter = 1 x 10-3 Metre

MMEF

Maximum Mid-Expiratory Flow

mmol

Millimole = 1 x 10-3 Mole

mol

Mole

MOM

Milk of Magnesia

Mos

Months

MP

Metacarpophalangeal Joint

MRI

Magnetic Resonance Imaging

MRN

Medical Record Number

MS

Mitral Stenosis; Multiple Sclerosis

MSo4

Morphine Sulfate

MVA

Motor Vehicle Accident

MVC

Motor Vehicle Crash

MWT

Maximum Walk Time

n/a

not applicable

n/v

Nausea and Vomiting

N

Normal

N. Surg.

Neurosurgery

Na

Sodium

NAD

No Acute Distress

NB

Newborn

neg

Negative

Neuro

Neurology, Neurologic

ng

Nanogram = 1x10-9 Gram

NG

Nasogastric

NIFM

Negative Inspiratory Force Maneuver

NKDA

No Known Drug Allergies

nl

Nanoliter = 1 x 10-9 Liter

NLP

No Light Perception (Ophth)

nmol

Nanomole = 1 x 10-9 Mole

NPC

Near Point of Convergence

NPH

Neutral Protamine Hagedorn (Insulin)

NPO

Nothing by Mouth

NS

Normal Saline

NSAID

Non-steroidal Anti-inflammatory Drug

NSR

Normal Sinus Rhythm

NST

Non-Stress Test

NSU

Neurosurgery Unit

NSVD

Normal Spontaneous Vaginal Delivery

NT

Not Tested

NTS

Nasotracheal Suction

NWB

Non Weight Bearing

O

Objective; Zero (Muscle)

U/O

Urinary Output

O.T. or OT

Occupational Therapy

O2

Oxygen

O2SAT

Oxygen Saturation

Ob

Obstetrics

Ob-GYN

Obstetrics and Gynecology

OBS

Organic Brain Syndrome

OCT

Oxytocin Challenge Test

OD

Oculus Dexter = Right Eye; Overdose

OJI

On the Job Injury

OOB

Out of Bed

OPC

Outpatient Clinic

OPD

Outpatient Dispensary

Ophth

Ophthalmology

OR

Operating Room

Orth

Orthopaedics

OS

Oculus Sinister = Left Eye

OT

Old Tuberculin

OTC

Over the Counter

OU

Oculus Uterque = Both Eyes Together

oz

Ounce

P

Pulse

P.T.

Physical Therapy

P2

Pulmonic 2nd Sound

PA

Pulmonary Artery

PAC

Premature Arterial Contraction

PAD

Pulmonary Artery Diastolic

PARA II

Female Having Borne Two Children (bi-para)

PARA

Pregnancies (e.g., PARA 4-1-2=4 Pregnancies, 1 Abortion or Miscarriage; 2 Living Children)

PARA I

Female Having Borne One Child (uni-para)

PAS

Pulmonary Artery Systolic

Path

Pathology

PAW

Pulmonary Artery Wedge

PBI

Protein Bound Iodine

pc

Post Cibum = After Meals

PCA

Patient Controlled Analgesic Used by Pharmacy

PCN

Penicillin

PCO2

Partial Pressure of Carbon Dioxide

PCWP

Pulmonary Capillary Wedge Pressure

PCXR

Portable Chest X-Ray

PD

Interpupillary Distance

PDA

Patent Ductus Arteriosus

PDC

Private Diagnostic Clinic

PE

Physical Examination

Ped

Pediatrics

PEEP

Positive End Expiratory Pressure

PEG

Pneumoencephalogram

PERLA

Pupils Equal, Round, React to Light & Accomodation

PFR

Plasma Flow Rate

pg

Picogram = 1 x 10-12 Gram

PG

Plasma Glucose

pH

The Negative Logarithm of the Effective Hydrogen-ion Concentration

PH

Past History; Pinhole

PI

Present Illness

PID

Pelvic Inflammatory Disease

PIP

Proximal Interphalangeal Joint

PKU

Phenylketonuria

PL

Palmaris Longus

Pl. Surg.

Plastic Surgery

plt

Platelet

pm

Post Meridiem = Afternoon

Pm

Picomole = 1 x 10-12 Mole

PMH

Past Medical History

PMI

Point of Maximal Impulse (of Heart on Chest Wall)

PMP

Previous Menstral Period

pn

pain

PNC

Premature Nodal Contraction

po

Per Orifice - by Mouth

PO2

Partial Pressure of Oxygen

POD

Post Operative Day

pos

Positive

Post. Tib.

Posterior Tibial

Post-op

Following Surgery

POV

Privately Owned Vehicle

PPHN

Persistent Pulmonary Hypertension of Newborn

PPTL

Post-partum Tubal Ligation

PRBC

Packed Red Blood Cells

Pre-op

Prior to Surgery

Prep

Preparation; prepare for

Prn

Pro Re Nata = Whenever Necessary

Pro. Rad. T

Pronatory Radii Teres

Procto

Proctoscopy, Proctology

PS

Physical Status; Pulmonary Stenosis

PSP

Phenolsulfozphthalein Test (Kidney)

PSS

Progressive Systemic Sclerosis

PSU

Plastic Surgery Unit

Psy

Psychiatry

PT

Prothrombin Time

Pt.

Patient

PTib

Posterior Tibula

PTA

Prior to Arrival

PTCA

Percutaneous Transluminal Coronary Angioplasty

PTT

Partial Thromboplastin Time

PVC

Premature Ventricular Contraction

PVR

Pulmonary Vascular Resistance

q2d

Every Other Day

Q2H & prn

Every Two Hours and As Needed

Q2HWA

Every Two Hours While Awake

Q4H & prn

Every Four Hours and As Needed

Q4HWA

Every Four Hours While Awake

Q6H & prn

Every Six Hours and As Needed

Q6HWA

Every Six Hours While Awake

qd

Quaque Die = Every Day

QDR

Quantitative Digital Radiography

qh

Quaque Hora - Every Hour

qn

Quaque Nocte = Every Night

qns

Quantum Non Sufficit = Quantity Not Sufficient

qod

Every Other Day

qs

Quantum Sufficit = Enough; a Sufficient Quantity

qv

Quantum Vis = As Much As You Like

R

Respiration

R (circled)

Right

R/O

Rule Out

RA

Rheumatoid Arthritis; Right Atrium

RAIU

Radioactive Iodine Uptake

RAP

Retinal Artery Pressure

RBC

Red Blood Cells (Red Blood Count)

Rehab

Rehabilitation

Resp

Respiratory

Rh

Rhesus Factor

Rh. neg.

Rhesus Factor Negative

RIA

Radioimmunoassay

RIO

Right Inferior Oblique

RIR

Right Inferior Rectus

RL

Right Lid

RLE

Right Lower Extremity

RLF

Retrolental Fibroplasia

RLL

Right Lower Lid (or) Right Lower Lobe

RLQ

Right Lower Quadrant

RLR

Right Lateral Rectus

RMR

Right Medial Rectus

ROA

Right Occipito - Anterior

ROM

Range of Motion (or) Rupture of Membranes

ROP

Right Occipito - Posterior

RPE

Rate of Perceived Exertion

RPF

Renal Plasma Flow

RPM

Revolutions per Minute

RPR

Reactive Plasm Reagin

RR

Recovery Room or Respiratory Rate

RR & E

Round, Regular and Equal (of Pupils)

RRR

Regular Rate and Rhythm

RSO

Right Superior Oblique

RSR

Right Superior Rectus

RT

Respiratory Therapy

RT3U

Resign T3 Uptake

Rte

Route

RTS

Revised Trauma Score

RUE

Right Upper Extremity

RUL

Right Upper Lid (or) Right Upper Lobe

RUQ

Right Upper Quadrant

RV

Right Ventricle

Rx

Therapy

s

Second

S/P

Status Post (Procedure)

S

Subjective

SAb

Spontaneous Abortion

SAH

Subarachnoid Hemorrhage

SBO

Small Bowel Obstruction

sc

Subcutaneous

SCC

Sickle Cell Crisis

SD

Standard Deviation

sec

Seconds

Sed. Rate

Sedimentation Rate

SG

Specific Gravity

SGA

Small for Gestational Age

SGOT

Serum Glutamic Oxaloacetic Transaminase

SGPT

Serum Glutamic Pyruvic Transaminase

sig

Signetur = Let It Be Labeled

SL

Sub Lingual

SLE

Slit Lamp Examination; Systemic Lupus Erythematosus

SNF

Skilled Nursing Facility

SO2

Oxygen Saturation

SOB

Short of Breath

Sp. Quad.

Spastic Quadriparesis

Sq

Squamous

sq. cell ca.

Squamous Cell Carcinoma

SS

Soap Suds

SSI

Supplemental Security Income

ST

Sore Throat

Stat

Immediately

STD

Sexually Transmitted Disease

STS

Serology Tests for Syphilis

SVO2

Systemic Venous Oxygen

SVR

Systemic Vascular Resistance

SW

Social Work

Sx

Symptoms

Sz

Seizure

T

Temperature

T-SPINE

Thoracic Spine

T & A

Tonsils and Adenoids; Tonsillitis and Adenoiditis; Tonsilectomy and Adenoidectomy

T & C

Type and Cross

T & S

Type and Screen

T3

Triiodothyronine

T4

Throxine (Tetraiodothyronine)

T4D

Thyroxine by Displacement

T4I

Throxine Iodide

TAb

Therapeutic Abortion

TAH

Total abd. Hysterectomy

TAT

Tetanus Antitoxin

Tbc

Tuberculosis;Tubercle Bacilli

TCDB

Turn, Cough and Deep Breathe

Td

Tetanus and Diphtheria Vaccine (Adult)

TED Hose

Antiembolitic Stocking

Tet. Tox.

Tetanus Toxoid

Th. Surg.

Thoracic Surgery

THC

marijuana

THR

Total Hip Replacement

TIA

Transient Ischemic Attack

TIBC

Total Iron Binding Capacity

tid

Ter In Die = Three Times a Day

TKR

Total Knee Replacement

TL

Tubal Ligation

TLC

Total Lung Capacity

Tm

Tubular Maximum

TMR

Temporal Mandibular Joint

TOGV

Transposition of Greater Vessels

TORCH

Toxoplasmosis, Other, Rubella, Cytomegalovirus, Herpes Simplex Virus

TPN

Total Parenteral Nutrition

TPR

Temperature, Pulse, Respiration

Tr

Trace

TRAP

Transport and Rapid Accessioning for Later Procedure

TRP

Tubular Reabsorption of Phosphate

TSH

Throtropin; Thyroid Stimulating Hormone

TTVP

Temporary Transvenous Pacemaker

TUR

Trans Urethral Resection

TV

Tidal Volume

Tx

Transplant, Transfusion, Treatment

U/A

Urine Analysis

U

Upper

UCG

Urine Chronic Gonadotropin (Pregnancy Test)

UE

Upper Extremity

UGI

Upper Gastrointestinal

UL

Upper Lid

unspec

Unspecified

URI

Upper Respiratory Infection

Urol

Urology

UTI

Urinary Tract Infection

V.sat

Venous Saturation

V-Fib

Ventricular Fibrillation

VA

Visual Acuity

VACU

Via Anesthesia Care Unit

VC

Vital Capacity

VD

Venereal Disease

Ve

Volume of Expired Tidal Volume

VF

Visual Fields

VO2

Venous Oxygen

VR

Vocational Rehabilitation

VS

Vital Signs (Temperature, Pulse and Respiration)

w/u

Workup

W

White

WB

Whole Blood

WBC

White Blood Cells (White Blood Count)

WBFR

Whole Blood Flow Rate

WNL

Within Normal Limits

wt

Weight

Yrs

Years

After

No change

Psychiatric

With

D

Change

Without

Decreased; Down

Male

Increased; Up

Female

null, nothingABBREVIATIONS THAT APPEAR ON THE RESPIRATORY CARE DOCUMENTATION FORM THE CLINIVISION INFORMATION SYSTEM (limited to 18 characters).

ABBREVIATION

DEFINITION

Admin

Administer

Alv

Alveolar

AW

Airway

AWM

Airway Management

Bil

Bilateral

cc U/A

Clean Catch Urine Analysis

CHI

Closed Head Injury

DPL

Diagnostic Peritoneal Lavage

Dyn

Dynamic

EPAP

Expiratory Positive Airway Pressure

Equip

Equipment

ER

Emergency Room

ETA

Estimated Time of Arrival

ETCO2

End Tidal Carbon Dioxide

Eval

Evaluation

EXP

Expiratory

FIO2

Fraction of Inspired Carbon Dioxide

GSU

General Surgical Unit

HFV

High Frequency Ventilation

HI

Head Injury

HME

Heat Moisture Exchanger

IAT

Intermittent Aerosol Therapy

Inj.

Injury

INS

Insiratory

IPAP

Inspiratory Positive Airway Pressure

IS

Incentive Spirometer

L

Left

Lac

Laceration

LWBS

Left Without Being Seen

MDI

Metered Dose Inhaler

Meas

Measure

Meds

Medications

MVC

Motor Vehicle Crash

N/A

Not Applicable

Neb

Nebulizer

No.

Number

NTS

Nasal Tracheal Suction

OJI

On the Job Injury

PFT

Pulmonary Function Test

pn

Pain

POV

Privately Owned Vehicle

Prov

Provided

Psy

Psychiatry

Pt.

Patient

Pulse Ox

Pulse Oximeter

Resp

Respiratory

Resp

Respiratory

RM

Room

Rsn

Reason

SCC

Sickel Cell Crisis

SpO2

Patial Pressure of Oxygen Saturation

ST

Sore Throat

Stat

Immediately

STD

Sexually Transmitted Disease

Sx

Symptoms

Trach

Tracheostomy

Transcut

Transcutaneous

Vent

Ventilator

Vol

Volume

Vt

Tidal Volume

W/O

Without

7

Right

Health Information & Record ServicesDepartment Information | Obtaining Medical Records | Policies & ProceduresMedical Records Abbreviations | Forms | FAQ | Confidentiality | Related Committees | Tumor Registry

Comments & Questions | Duke University Medical Center

Last updated 05/07/99 02:31:39 PM by Educational Media Services

Duke University Medical Center

FREQUENTLY USED ABBREVIATIONS

The attached document is a listing of commonly used abbreviations and symbols as noted by the Committee on Health Information Policies and Services. Abbreviations and symbols should be used carefully. The meaning of the abbreviation should be easily identified from the context in which it is written.

A B C D E F G H I J K L M N O P Q R S T U V W Y Abbreviations That Appear on the Respiratory Care Documentation From The Clinivision Information System

ABBREVIATION DEFINITION

17 ksKetosteriods - 17

A/VArtery/Vein Ratio (Retinal)

AAssessment.

A/V BGArteriovenous Blood Gas

A - fibAtrial Fibrillation

A/CAssist/Control

~Before

A.satArterial Saturation

A & Ox3Alert & Oriented To Person, Place and Time

A & Ox4Alert & Oriented To Person, Place, Time and Event

A & PAnterior and Posterior

A2<P2Aortic 2nd Heart Sound is Less Than Pulmonic 2nd Sound

A2>P2Aortic 2nd Heart Sound is Greater Than Pulmonic 2nd Sound

aaOf Each

AbAntibody

ABCAutomated Blood Counts

AbdAbdominal

Abd.Poll.Abductor Pollicis

ABGArterial Blood Gases

ABIAnkle Brachial Index

ABOBlood Types A, B & O (generic term)

acAnte Cibum - Before Meals

AC JointAcromioclavicular Joint

ACDAnticoagulant Citrate Dextrose Solution

ACTActivated Clotting Time

ActHAdrenocorticotropic Hormone

ACUAcute Care Unit

ad libAd Libitum = at Pleasure; at Discretion

ADAAdult Diabetes Association (Diet)

AddBifocal Addition (Ophth)

ADHAntidiuretic Hormone

ADLActivities for Daily Living

AFDCAid to Families with Dependant Children

AGAAppropriate for Gestational Age

AGLAcute Granulocytic Leukemia

AHAAmerican Heart Association

AIDSAcquired Immunodeficiency Syndrome

Alk PhosAlkaline Phosphatase

ALLAcute Lymphocytic Leukemia

ALTAlanine Aminotransferase

amAnte Meridiem = Before Noon

AMAAgainst Medical Advise

AmbAmbulance

ambambulate

AMIAcute (or Anterior) Myocardial Infarction

ANCAbsolute Neutrophil Count

AnesAnesthesia

Ant. Tib.Anterior Tibial

AnteAnte = Before

AODMAdult Onset Diabetes Mellitus

APTTActivated Partial Thromboplastin Time

asaAspirin

ASAPAs Soon As Possible

ASCVDArteriosclerotic Cardiovasular Disease

ASDAtrial Septal Defect

ASOAnti-Streptolysin O Titer

ASPVDAtherosclerotic Peripheral Vascular Disease

ASTAspartate Aminotransferase

AVO2 diffArterial Venous Oxygen Difference

AVO2Arteriovenous Oxygen

BBlack

B (circled)Biliary

B-hCGHuman Chorionic Gonadotropin

BAGBrachial Arteriograms

BCBSBlue Cross Blue Shield

BDBase Down (Ophth)

BEBarium Enema

BGBlood Glucose

BIBase In (Ophth)

bibBibe = Drink

bidBis In Die = Twice A Day

BilBilateral

biliBilirubin

BMBowel Movement

BMRBasal Metabolic Rate

BOBase Out (Ophth)

BOMBilateral Otitis Media

BPBlood Pressure

BPHBenign Prostatic Hypertrophy

BRBathroom

BRPBathroom Privileges

bsBowel Sounds or Breath Sounds

BSABody Surface Area

BSOBilateral Salpingo-oophorectomy

BSPBromsulfophthalein

BTLBilateral Tubal Ligation

BUBase Up (Ophth)

BUNBlood Urea Nitrogen

BxBiopsy

c/oComplains of

CClearance; Centigrade

C/D ratioCup/Disc Ratio

C. spineCervical Spine

C-SPINECervical Spine

C & SCulture and Sensitivity

C1;C2; etc.First Cervical Vertebra; Second Cervical Vertebra, etc.

C3 - C4Complement Components 3-4

CaCalcium

CACarcinoma

CABGCornary Artery Bypass Graft

CADCoronary Artery Disease

CAGCarotid Arteriogram

CathCatheter, Catheterization

CBCComplete Blood Count

ccCubic Centimeters

CCChief Complaint

cc U/AClean Catch Urine Analysis

CC UrineClean Catch Urine

CCUCardiac Care Unit

CDCCalculated Date of Confinement

CEACarcinoembryonic Antigen

CFCount Fingers

CHDCongenital Heart Disease

ChemChemistry

CHFCongestive Heart Failure

CHIClosed Head Injury

CHOCarbohydrate

chrChronic

CICardiac Index

ClChloride

cmCentimeter

CMFSCranialmaxillofacial (craniofacial) service

cmvCytomegalovirus

CNSCentral Nervous System (or) Clinical Nurse Specialist

COCardiac Output

CO2Carbon Dioxide

CoarctCoarctation

COLDChronic Obstructive Lung Disease

COPDChronic Obstructive Pulmonary Disease

CPCerebral Palsy (or) Chest Pain

CPAPContinuous Positive Airway Pressure

CPCClinical Pathological Conference

CPKCreatine Phosphokinase

CPRCardiopulmonary Resuscitation

CPSCentral Processing Service

CPTChild Protection Team

CrCreatine

CRFChronic Renal Failure

CRIFClosed Reduction, Internal Fixation

C/SCesarean Section

CSFCerebro - Spinal Fluid

CSHSChild Special Health Services

CTComputerized Tomography

CVACerebro-vascular Accident

CVPCentral Venous Pressure

CxCervix

CXRChest X-Ray

dDay

D/CDiscontinue

D. spineDorsal Spine

D & CDilation and Curettage

D1; D2; etc.First Dorsal Vertebra; Second Dorsal Vertebra; etc.

D5RDextrose in Ringer's Solution - 5%

D5WDextrose in Water - 5%

dBDecibels

DCDischarge

DCSDorsal Column Stimulater

DCSRDischarges Special Routing

DermDermatology

Det RetRetinal Detachment

DICDisseminated Intravascular Coagulation

DiffDifferential

DIPDistal Interphalangeal Joint

DJDDegenerative Joint Disease

dlDeciliter

DLCODiffusing Capacity Lung Carbon Monoxide

DMDiabetes Mellitus

DMIDiaphragmatic Myocardial Infarction

DOADead on Arrival

DOBDate of Birth

DOEDyspnea on Exertion

DOLDay of Life

DPLDiagnostic Peritoneal Lavage

DPedDorsalis Pedus

DPTDiphtheria, Pertussis, Tetanus

Drsg.Dressing

DTRsDeep Tendon Reflexes

DVTDeep Vein Thrombosis

DxDiagnosis

DYSDays

EEsophoria

E (T)Esotropia (Intermittent)

E.D.C.Estimated Date of Confinement

EBV-AbEpstein Barr Virus Antibody

ECMOExtracorporeal Membrane Oxygenation

ECRBExtensor Carpi Radialis Brevis

ECRLExtensor Carpi Radialis Longus

ECTElectroseizure Therapy (also see EST)

ECUExtensor Carpi Ulnaris

EDEmergency Department

EDCExtensor Digitorum Communis

EEGElectro-encephalogram, - graph

EENTEye, Ear, Nose and Throat

EFEjection Fraction

egExempli Gratia = For Example

EGDEsophagogastroduodenoscopy

EJExternal Jugular

EKGElectrocardiogram, - graph

EMGElectromyography

EMSEmergency Medical System (or Service)

ENTEar, Nose and Throat

EOBEdge of Bed

EOMExtraocular Movements

EPElectrophysiology

EPBExtensor Pollicis Brevis

EPLExtensor Pollicis Longus

EREmergency Room

ERCPEndoscopic Retrograde Cholangio Pancreatography

ERGElectroretinogram

ESTElectroseizure Therapy

EtEsotropia

ETEndotracheal

ETAEstimated Time of Arrival

ETOHEthanol

ETSEndotracheal Suctioning

ETTEndotracheal Tube

EvalEvaluation

ExophExophthalmometer Reading

ExtExtremity

F/UFollow-Up

FFemale

FBSFasting Blood Sugar

FCUFlexor Carpi Ulnaris

FDARFocus, Data, Action, Response

FDPFlexor Digitorum Profundus

FDSFlexor Digitorum Sublimis

Fe SO4Ferrous Sulfate

FEFForced Exploratory Flow

FEVForced Exploratory Volume

FFPFresh Frozen Plasma

FHFamily History

FIO2Fraction of Inspired Oxygen

flFemtoliter = 1 x 10-15 Liter

Fl (fld)Fluidum = Fluid

Fl. ozFluid Ounce

fmolFemtomole = 1 x 10-15 Mole

FNPFamily Nurse Practioner

FOBFoot of Bed

Fr.French

FSHFollicle Stimulating Hormone

ftFoot (12 inches)

FTA-AbsFluorescent Treponemal Antibody Absorption

FTNFull Term Nursery

FUOFever of Unknown Origin

FVCForced Vital Capacity

FVFGFree Vascularized Fibular Graft

FxFracture

gGram

GGood (muscle)

GBGallbladder

GCGonorrhea, Gonococcus, Gonococcal

GCSGlascow Coma Scale

GIGastrointestinal

GluGlucose

GNGlomerulonephritis

GrGranum = Grain

GSUGeneral Surgery Unit

GSWGun Shot Wound

gttGutta = Drop

GTTGlucose Tolerance Test

GUGenitourinary (Urogenital)

GynGynecology

hhour

H/AHeadache

H.O.House Officer

H2OWater

HCHead Circumference

HCGHuman Chorionic Gonadotropin

HCO2Bicarbonate

HctHematrocrit

HCVDHypertensive Cardiovascular Disease

hgbHemoglobin

HGHHuman Growth Hormone

HHHiatal Hernia

HIHead Injury

HIVHuman Immunodeficiency Virus

HMHand Motions

HNPHerniated Nucleus Pulposus

HOBHead of Bed

/HPFPer High Power Field

HPIHistory of Present Illness

HRRColor Vision Plates (Ophth)

hsHour of Sleep

HtHeight

HTHypertropia

HTLAHigh Titer Low Avidity

HTNHypertension

HVDHypertensive Vascular Disease

HxHistory

HzHertz (Cycles per Second)

I & OIntake and Output

IABPIntra Aortic Balloon Pump

IBWIdeal Body Weight

ICCInterventional Cardiac Cath

ICCEIntracapsular Cataract Extraction

ICFIntermediate Care Facility

ICNIntensive Care Nursery

IDMInfant of a Diabetic Mother

IgGImmunoglobulin G

IJInternal Juglar

IMIntramuscular

IMIInferior Myocardial Infarction

ImpImpression

IMVIntermittant Mandatory Ventilation

inj.Injury

Int. Med.Internal Medicine

IOPIntraocular Pressure

IPPBIntermittent Positive Pressure Breathing

IQIntelligence Quotient

IRUInpatient Rehabilitiation Unit

IUGRIntrauterine Growth Retardation

IUPIntrauterine Pregnancy

IVIntravenous

IVPIntravenous Pyelogram

IVUIntravenous Urogram

JRAJuvenile Rheumatoid Arthritis

JtJoint

kKilo

KPotassium

KClPotassium Chloride

kgKilgram (1,000 Grams)

KHzThousand Hz

kjKnee Jerk

ksKilosecond (1,000 Seconds)

KUBKidney, Ureter and Bladder

KVOKeep Vein Open

lLiter

L (circled)Left

L. spineLumber spine

L & ALight and Accomodation (This is a Reaction of the Pupils)

L & DLabor and Delivery

L1; L2; etc.First Lumbar Vertebra; Second Lumbar Vertebra; etc.

LALeft Atrium

labLaboratory

LacLaceration

LAMLeft Atrial Mean

LBPLower Back Pain

LDHLactate Dehydrogenase

LELower Extremity

LFTLiguide Function Test

LGALarge for Gestational Age (Used on Newborn)

LHLuteinizing Hormone

LIOLeft Inferior Oblique

LIRLeft Inferior Rectus

LLELeft Lower Extremity

LLLLeft Lower Lid (or) Left Lower Lobe

LLQLeft Lower Quadrant

LLRLeft Lateral Rectus

LMPLast Menstrual Period

LOALeft Occipito - Anterior

locLoss of Consciousness

LPLight Perception (Ophth); Lumbar Puncture

LRLactacted Ringer's Solution

LSOLeft Superior Oblique

LSRLeft Superior Rectus

LSTCLaparascopic Tubal Cautery

LUELeft Upper Extremity

LULLeft Upper Lid (or) Left Upper Lobe

LUQLeft Upper Quadrant

LVLeft Ventricle

LWBSLeft Without Being Seen

MMale

mAMilliamps

MAPMean Arterial Pressure

MASTMilitary Antishock Trousers

MCLMid - Clavicular Line

MCPMetacarpal Phalangeal

MCVMean Arterial Pressure

MedsMedications

mEqMilliequivalent

mgMilligram - 1 x 10-3 gram

MgMagnesium

MgSO4Magnesium Sulfate

MHMalignant Hyperthermia

MIMyocardial Infarction; Mitral Insufficiency

MICUMedical Intensive Care Unit

minMinute

Misc.Miscellaneous

mjMillijoules

mlMilliliter = 1 x 10-3 Liter

mmMillimeter = 1 x 10-3 Metre

MMEFMaximum Mid-Expiratory Flow

mmolMillimole = 1 x 10-3 Mole

molMole

MOMMilk of Magnesia

MosMonths

MPMetacarpophalangeal Joint

MRIMagnetic Resonance Imaging

MRNMedical Record Number

MSMitral Stenosis; Multiple Sclerosis

MSo4Morphine Sulfate

MVAMotor Vehicle Accident

MVCMotor Vehicle Crash

MWTMaximum Walk Time

n/anot applicable

n/vNausea and Vomiting

NNormal

N. Surg.Neurosurgery

NaSodium

NADNo Acute Distress

NBNewborn

negNegative

NeuroNeurology, Neurologic

ngNanogram = 1x10-9 Gram

NGNasogastric

NIFMNegative Inspiratory Force Maneuver

NKDANo Known Drug Allergies

nlNanoliter = 1 x 10-9 Liter

NLPNo Light Perception (Ophth)

nmolNanomole = 1 x 10-9 Mole

NPCNear Point of Convergence

NPHNeutral Protamine Hagedorn (Insulin)

NPONothing by Mouth

NSNormal Saline

NSAIDNon-steroidal Anti-inflammatory Drug

NSRNormal Sinus Rhythm

NSTNon-Stress Test

NSUNeurosurgery Unit

NSVDNormal Spontaneous Vaginal Delivery

NTNot Tested

NTSNasotracheal Suction

NWBNon Weight Bearing

OObjective; Zero (Muscle)

U/OUrinary Output

O.T. or OTOccupational Therapy

O2Oxygen

O2SATOxygen Saturation

ObObstetrics

Ob-GYNObstetrics and Gynecology

OBSOrganic Brain Syndrome

OCTOxytocin Challenge Test

ODOculus Dexter = Right Eye; Overdose

OJIOn the Job Injury

OOBOut of Bed

OPCOutpatient Clinic

OPDOutpatient Dispensary

OphthOphthalmology

OROperating Room

OrthOrthopaedics

OSOculus Sinister = Left Eye

OTOld Tuberculin

OTCOver the Counter

OUOculus Uterque = Both Eyes Together

ozOunce

PPulse

P.T.Physical Therapy

P2Pulmonic 2nd Sound

PAPulmonary Artery

PACPremature Arterial Contraction

PADPulmonary Artery Diastolic

PARA IIFemale Having Borne Two Children (bi-para)

PARAPregnancies (e.g., PARA 4-1-2=4 Pregnancies, 1 Abortion or Miscarriage; 2 Living Children)

PARA IFemale Having Borne One Child (uni-para)

PASPulmonary Artery Systolic

PathPathology

PAWPulmonary Artery Wedge

PBIProtein Bound Iodine

pcPost Cibum = After Meals

PCAPatient Controlled Analgesic Used by Pharmacy

PCNPenicillin

PCO2Partial Pressure of Carbon Dioxide

PCWPPulmonary Capillary Wedge Pressure

PCXRPortable Chest X-Ray

PDInterpupillary Distance

PDAPatent Ductus Arteriosus

PDCPrivate Diagnostic Clinic

PEPhysical Examination

PedPediatrics

PEEPPositive End Expiratory Pressure

PEGPneumoencephalogram

PERLAPupils Equal, Round, React to Light & Accomodation

PFRPlasma Flow Rate

pgPicogram = 1 x 10-12 Gram

PGPlasma Glucose

pHThe Negative Logarithm of the Effective Hydrogen-ion Concentration

PHPast History; Pinhole

PIPresent Illness

PIDPelvic Inflammatory Disease

PIPProximal Interphalangeal Joint

PKUPhenylketonuria

PLPalmaris Longus

Pl. Surg.Plastic Surgery

pltPlatelet

pmPost Meridiem = Afternoon

PmPicomole = 1 x 10-12 Mole

PMHPast Medical History

PMIPoint of Maximal Impulse (of Heart on Chest Wall)

PMPPrevious Menstral Period

pnpain

PNCPremature Nodal Contraction

poPer Orifice - by Mouth

PO2Partial Pressure of Oxygen

PODPost Operative Day

posPositive

Post. Tib.Posterior Tibial

Post-opFollowing Surgery

POVPrivately Owned Vehicle

PPHNPersistent Pulmonary Hypertension of Newborn

PPTLPost-partum Tubal Ligation

PRBCPacked Red Blood Cells

Pre-opPrior to Surgery

PrepPreparation; prepare for

PrnPro Re Nata = Whenever Necessary

Pro. Rad. TPronatory Radii Teres

ProctoProctoscopy, Proctology

PSPhysical Status; Pulmonary Stenosis

PSPPhenolsulfozphthalein Test (Kidney)

PSSProgressive Systemic Sclerosis

PSUPlastic Surgery Unit

PsyPsychiatry

PTProthrombin Time

Pt.Patient

PTibPosterior Tibula

PTAPrior to Arrival

PTCAPercutaneous Transluminal Coronary Angioplasty

PTTPartial Thromboplastin Time

PVCPremature Ventricular Contraction

PVRPulmonary Vascular Resistance

q2dEvery Other Day

Q2H & prnEvery Two Hours and As Needed

Q2HWAEvery Two Hours While Awake

Q4H & prnEvery Four Hours and As Needed

Q4HWAEvery Four Hours While Awake

Q6H & prnEvery Six Hours and As Needed

Q6HWAEvery Six Hours While Awake

qdQuaque Die = Every Day

QDRQuantitative Digital Radiography

qhQuaque Hora - Every Hour

qnQuaque Nocte = Every Night

qnsQuantum Non Sufficit = Quantity Not Sufficient

qodEvery Other Day

qsQuantum Sufficit = Enough; a Sufficient Quantity

qvQuantum Vis = As Much As You Like

RRespiration

R (circled)Right

R/ORule Out

RARheumatoid Arthritis; Right Atrium

RAIURadioactive Iodine Uptake

RAPRetinal Artery Pressure

RBCRed Blood Cells (Red Blood Count)

RehabRehabilitation

RespRespiratory

RhRhesus Factor

Rh. neg.Rhesus Factor Negative

RIARadioimmunoassay

RIORight Inferior Oblique

RIRRight Inferior Rectus

RLRight Lid

RLERight Lower Extremity

RLFRetrolental Fibroplasia

RLLRight Lower Lid (or) Right Lower Lobe

RLQRight Lower Quadrant

RLRRight Lateral Rectus

RMRRight Medial Rectus

ROARight Occipito - Anterior

ROMRange of Motion (or) Rupture of Membranes

ROPRight Occipito - Posterior

RPERate of Perceived Exertion

RPFRenal Plasma Flow

RPMRevolutions per Minute

RPRReactive Plasm Reagin

RRRecovery Room or Respiratory Rate

RR & ERound, Regular and Equal (of Pupils)

RRRRegular Rate and Rhythm

RSORight Superior Oblique

RSRRight Superior Rectus

RTRespiratory Therapy

RT3UResign T3 Uptake

RteRoute

RTSRevised Trauma Score

RUERight Upper Extremity

RULRight Upper Lid (or) Right Upper Lobe

RUQRight Upper Quadrant

RVRight Ventricle

RxTherapy

sSecond

S/PStatus Post (Procedure)

SSubjective

SAbSpontaneous Abortion

SAHSubarachnoid Hemorrhage

SBOSmall Bowel Obstruction

scSubcutaneous

SCCSickle Cell Crisis

SDStandard Deviation

secSeconds

Sed. RateSedimentation Rate

SGSpecific Gravity

SGASmall for Gestational Age

SGOTSerum Glutamic Oxaloacetic Transaminase

SGPTSerum Glutamic Pyruvic Transaminase

sigSignetur = Let It Be Labeled

SLSub Lingual

SLESlit Lamp Examination; Systemic Lupus Erythematosus

SNFSkilled Nursing Facility

SO2Oxygen Saturation

SOBShort of Breath

Sp. Quad.Spastic Quadriparesis

SqSquamous

sq. cell ca.Squamous Cell Carcinoma

SSSoap Suds

SSISupplemental Security Income

STSore Throat

StatImmediately

STDSexually Transmitted Disease

STSSerology Tests for Syphilis

SVO2Systemic Venous Oxygen

SVRSystemic Vascular Resistance

SWSocial Work

SxSymptoms

SzSeizure

TTemperature

T-SPINEThoracic Spine

T & ATonsils and Adenoids; Tonsillitis and Adenoiditis; Tonsilectomy and Adenoidectomy

T & CType and Cross

T & SType and Screen

T3Triiodothyronine

T4Throxine (Tetraiodothyronine)

T4DThyroxine by Displacement

T4IThroxine Iodide

TAbTherapeutic Abortion

TAHTotal abd. Hysterectomy

TATTetanus Antitoxin

TbcTuberculosis;Tubercle Bacilli

TCDBTurn, Cough and Deep Breathe

TdTetanus and Diphtheria Vaccine (Adult)

TED HoseAntiembolitic Stocking

Tet. Tox.Tetanus Toxoid

Th. Surg.Thoracic Surgery

THC marijuana

THRTotal Hip Replacement

TIATransient Ischemic Attack

TIBCTotal Iron Binding Capacity

tidTer In Die = Three Times a Day

TKRTotal Knee Replacement

TLTubal Ligation

TLCTotal Lung Capacity

TmTubular Maximum

TMRTemporal Mandibular Joint

TOGVTransposition of Greater Vessels

TORCHToxoplasmosis, Other, Rubella, Cytomegalovirus, Herpes Simplex Virus

TPNTotal Parenteral Nutrition

TPRTemperature, Pulse, Respiration

TrTrace

TRAPTransport and Rapid Accessioning for Later Procedure

TRPTubular Reabsorption of Phosphate

TSHThrotropin; Thyroid Stimulating Hormone

TTVPTemporary Transvenous Pacemaker

TURTrans Urethral Resection

TVTidal Volume

TxTransplant, Transfusion, Treatment

U/AUrine Analysis

UUpper

UCGUrine Chronic Gonadotropin (Pregnancy Test)

UEUpper Extremity

UGIUpper Gastrointestinal

ULUpper Lid

unspecUnspecified

URIUpper Respiratory Infection

UrolUrology

UTIUrinary Tract Infection

V.satVenous Saturation

V-FibVentricular Fibrillation

VAVisual Acuity

VACUVia Anesthesia Care Unit

VCVital Capacity

VDVenereal Disease

VeVolume of Expired Tidal Volume

VFVisual Fields

VO2Venous Oxygen

VRVocational Rehabilitation

VSVital Signs (Temperature, Pulse and Respiration)

w/uWorkup

WWhite

WBWhole Blood

WBCWhite Blood Cells (White Blood Count)

WBFRWhole Blood Flow Rate

WNLWithin Normal Limits

wtWeight

YrsYears

After

No change

Psychiatric

With

DChange

Without

Decreased; Down

Male

Increased; Up

Female

null, nothing

ABBREVIATIONS THAT APPEAR ON THE RESPIRATORY CARE DOCUMENTATION FORM THE CLINIVISION INFORMATION SYSTEM (limited to 18 characters).

ABBREVIATIONDEFINITION

AdminAdminister

AlvAlveolar

AWAirway

AWMAirway Management

BilBilateral

cc U/AClean Catch Urine Analysis

CHIClosed Head Injury

DPLDiagnostic Peritoneal Lavage

DynDynamic

EPAPExpiratory Positive Airway Pressure

EquipEquipment

EREmergency Room

ETAEstimated Time of Arrival

ETCO2End Tidal Carbon Dioxide

EvalEvaluation

EXPExpiratory

FIO2Fraction of Inspired Carbon Dioxide

GSUGeneral Surgical Unit

HFVHigh Frequency Ventilation

HIHead Injury

HMEHeat Moisture Exchanger

IATIntermittent Aerosol Therapy

Inj.Injury

INSInsiratory

IPAPInspiratory Positive Airway Pressure

ISIncentive Spirometer

LLeft

LacLaceration

LWBSLeft Without Being Seen

MDIMetered Dose Inhaler

MeasMeasure

MedsMedications

MVCMotor Vehicle Crash

N/ANot Applicable

NebNebulizer

No.Number

NTSNasal Tracheal Suction

OJIOn the Job Injury

PFTPulmonary Function Test

pnPain

POVPrivately Owned Vehicle

ProvProvided

PsyPsychiatry

Pt.Patient

Pulse OxPulse Oximeter

RespRespiratory

RespRespiratory

RMRoom

RsnReason

SCCSickel Cell Crisis

SpO2Patial Pressure of Oxygen Saturation

STSore Throat

StatImmediately

STDSexually Transmitted Disease

SxSymptoms

TrachTracheostomy

TranscutTranscutaneous

VentVentilator

VolVolume

VtTidal Volume

W/OWithout

7Right

Health Information & Record Services

Department Information | Obtaining Medical Records | Policies & Procedures

Medical Records Abbreviations | Forms | FAQ | Confidentiality | Related Committees | Tumor Registry

Comments & Questions | Duke University Medical CenterLast updated 05/07/99 02:31:39 PM by Educational

Media Services