NSVD - natural spontaneous vaginal delivery DHN dehydration vo/VO verbal order IVF intravenous fluid to/ TO telephone

one order IVP - intravenous push drsg dressing IVPB - intravenous by piggy back db decibel os - mouth DNR do not resuscitate q/ qd- every DNAR do not attempt to resuscitate wt - weight DOE dyspnea on exertion mod - moderate D/C discontinue Rt - right DqC dilation & cutterage BCG - bacille Calmette- Guerin BRAT banana rice apple tea DPT - Diptheria, Pertussis, Tetanus Hx history OPV - oral polio vaccine BOA born on arrival AMV - anti measles vaccine BR bed rest EPI expanded program on immunization SOOB send out of bed Mcgtt microdrops TAHBSO total abdominal hysterectomy bilateral AD right ear salpingo oophorectomy AU both ear NOD nurse on duty AS left ear ROD resident on duty lbs pounds ERPC - endoscopic retrograde KSS keep set sterile cholangiopancreatography NGT nasogastric tubing mEq milliequivalent ASAP as soon as possible PROM SOP standard operating procedure Ceph - cephalic PERRLA pupils equal round reactive to light del delivery accomodation PIH pregnancy induced hypertension CBR c TP complete bed rest without toilet IUGR -Intrauterine growth restriction privileges AOG mgh may go home BTL IVTT intravenous through tubing SQ sub OOB out of bed + FBS fasting blood sugar b.i.d., bid: twice a day DOB difficulty of breathing NST no skin test ANST after negative skin test DOA dead on arrival KVO - keep vein open CPD cephalopelvic disproportion RLQ right left quadrant SSI od once a day/daily TCB qam/qAM every morning COPD chronic obstructive pulmonary disease T /tbsp tablespoon CAPD continuous ambulatory pertinoteal dialysis TWC terminate when consumed v/s vital signs BP- blood pressure RUQ right upper quadrant KUB kidney ureter bladder ICP intracranial pressure US, u/s ultrasound Hct hematocrit AMA against medical advice t/tsp teaspoon DAMA discharge against medical advice DAT diet as tolerated HAMA home against medical advice qid four times daily FBC folly bag catheter CXR chest x-ray * OU both eyes TF to follow SQ/S.C subcutaneous K potassium
c= with

 Hgb = hemoglobin RLQ = right lower quadrant RUQ = right upper quadrant CSF cerebro spinal fluid ADL activity of daily living s = without UC = uterine contraction Osec = IVFD AKA bm/BM bowel movement CBR complete bed rest Dx diagnosis /diagnosing I&O intake and output q2h/q2h = every two hours q3h/q3h = every three hours ss = twice/half BUN = blood urea nitrogen % = percent ad lib = as desired amb. = ambulatory amt = amount bm/BM = bowel movement Cl = chloride ECG = electrocardiogram fld = fluid H2o = water MIO = measure intake and output liq = liquid neg = negative NPO = nothing per orem/nothing by mouth NS = normal saline NSS = normal saline solution O2 = oxygen NCCF = no chocolate colored food AP = appendicitis = attending physician PX /PE = physical examination SDD = soft diabetic diet FDD = full diabetic diet FD = full diet SD = soft diet a = before aa = of each @ = at oz = ounces CBC = complete blood count d/c = discontinue = discharge ac = before meals/ anti sebum ID = intradermal po = post orem qs = every shift RBC = red blood cell AD = right ear

AS = left ear hs = hour of sleep AU = both ear S/E = stool exam SE = sputum exam LMP = last menstrual period IV = intravenous pc = post cebum/ after meal WBC= white blood cell SQ/SC = subcutaneous < uug = ointment stat = immediately /as soon as possible AOG = age of gestation SL = sublingual NPO = nothing per orem/ nothing by mouth u/s urine stool EDD = expected date of delivery L or l = liter kg = kilogram ml = milliliter tid = three times a day TPR = temperature pulse respiration EDC = expected date of confinement q/q = every ABC = airway breathing circulation IM = intramuscular LLQ = left lower quadrant LUQ = left upper quadrant prn = as needed U/A = urine analysis > + OU both eyes OD right eyes OS left eyes 7 DISEASES covered by EPI 1. Diptheria 2. Pertussis 3. Tetanus 4. Neonatal Tetanus/Tetanus 5. Hepatitis B 6. Measles 7. Poliomyelitis 11 RIGHTS in giving Medication 1. Right Drug 2. Right Dose 3. Right Time 4. Right Route 5. Right Patient 6. Right Approach 7. Right Assessment

8. Right 9. Right 10. Right 11. Right

Education Evaluation Documentation to Refuse

DDTRPAAEEDR