Low vision Accessible version of Guide To Approved Medical Abbreviations
The following approved abbreviations may be used in medical records documentation.
ABBREVIATION |
EXPLANATION |
---|---|
a.c. |
before meals |
ADL |
activities of daily living |
ad lib |
as much as needed or requested |
alb |
albumin, a blood protein |
a.m. |
morning |
AMA |
against medical advice |
ARF |
acute renal failure |
BEE |
basal energy expenditure |
bid |
twice a day |
BMI |
body mass index |
BM |
bowel movement |
BMR |
basal metabolic rate |
BMT |
bone marrow transplant |
BP |
blood pressure |
BUN |
blood urea nitrogen |
c̅ |
with |
Ca+ |
calcium |
CA |
cancer |
CBC |
complete blood count |
CC |
chief complaint |
CHF |
congestive heart failure |
CHO |
carbohydrate |
CHD |
coronary heart disease |
CNS |
central nervous system |
c/o |
complains of |
COPD |
chronic obstructive pulmonary disease |
CPN |
central parenteral nutrition |
CVA |
cerebral vascular accident /stroke) |
CVD |
cardiovascular disease |
ABBREVIATION |
EXPLANATION |
---|---|
DKA |
diabetic ketoacidosis |
DM |
diabetes mellitus (also see IDDM, NIDDM) |
DNR |
do not resuscitate |
Dx |
diagnosis |
ea (or q) |
each |
ESRD |
end stage renal disease |
FBS |
fasting blood sugar (or glucose) |
Fe |
iron |
fld |
fluid |
FTT |
failure to thrive |
F/U |
follow up |
GB |
gallbladder |
GI |
gastrointestinal |
H ( ) |
hour |
Hct |
hematocrit |
HDL |
high density lipoprotein |
Hgb or Hb |
hemoglobin |
A1C Hgb |
Glycosylated (aka glycated) hemoglobin |
Hi Cal or H.C. |
high calorie |
Hi Vit |
high vitamin |
h.s. (should no longer be used) |
hour of sleep (bedtime) |
ht |
height |
HTN |
hypertension (high blood pressure) |
Hx |
history |
ABBREVIATION |
EXPLANATION |
---|---|
IDDM |
Insulin Dependent Diabetes Mellitus (Type 1) |
I/O or I & O |
intake and output (commonly for fluid balance) |
KCI or K+ |
potassium chloride |
kcal |
kilocalorie = Calorie |
LDL |
tow density lipoprotein |
mcg |
microgram |
Ml |
myocardial infarction (heart attack) |
Na |
sodium |
NAS |
no added salt |
NB |
note well |
NCP |
nursing care plan |
NG (NGF) |
nasogastric tube (NG feeding) |
NIDDM |
Non-insulin dependent diabetes (Type 2) |
noc |
night (nocturnal) |
NPO |
nothing by mouth |
N&V |
nausea and vomiting |
ABBREVIATION |
EXPLANATION |
---|---|
p.c. |
after meals |
PE or Px |
physical exam |
PEM |
protein energy malnutrition |
PH |
past history |
p.m. |
evening |
p.o. |
by mouth |
prn |
as often as necessary |
pt. |
patient |
PTA |
prior to admission |
q |
every (each) |
q.h. |
every hour |
q.i.d. |
four times a day |
q.3.h. |
every three hours |
q.n. |
every night |
RBC |
red blood cells |
RO |
rule out |
Rx |
treatment or prescription |
ABBREVIATION |
EXPLANATION |
---|---|
s |
without |
SOB |
shortness of breath |
stat |
immediately |
sub-Q |
subcutaneous (under the skin) |
Sx |
symptom (s) |
TC |
total cholesterol |
TG |
triglycerides |
t.i.d. |
three times a day |
TPN (TNA) |
total parenteral nutrition (total nutrient admixture) |
WNL |
within normal limits |
wt. |
weight |
y.o. |
years old |
SYMBOLS
♀ = female
♂ = male
↑ = increase
↓ = decrease
ø = none
# = pounds
> = greater than (examples: 8 > 4 OR DRI goal for dietary fiber> 25g per day)
< = less than (examples 4 < 8 OR DRI goal for fat < 30% kcal)
≥ = greater than or equal to (example: DRI goal for Vit C intake ≥ RDA for Vit C)
≤ = less than or equal to (example: DRI goal for saturated fat ≤ 10% of total calories)
Numbers: Never write a zero by itself after a decimal point (example: 10.0—mistaken for 100)
Always use a zero before a decimal point (example: 0.1 to indicate 1/10 = 10%)
Medical errors have been identified as common causes of patient deaths in the U.S. For information about the National Patient Safety Goals of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) related to use of medical abbreviations, see JCAHO website: www.jcaho.org Links to an external site.
Also see Institute for Safe Medication Practices (ISMP) website: www.ismp.org. Links to an external site.