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Medical orders

med term - medical orders, procedure, patient status, blood work abbreviations

TermDefinition
Medical Orders Medical orders are instructions to medical staff.
NAS No added salt indicates that a patient should not be given additional salt at meals.
NKO No known allergies describes a patient who has no recorded or known allergies.
NPO Nothing by mouth is a medical order instructing medical staff to not allow the patient to ingest any substances orally.
OOB Out of bed indicates that a patient should get out of bed for a particular activity, or just for the exercise of getting out of bed.
BR Bed rest is an order requiring consistent rest time in bed.
CBR Complete bed rest is an order requiring that a patient remain in bed at all times.
BRP Bathroom privileges indicate that a patient has permission to use bathroom facilities unsupervised and at his or her own discretion.
DNR Do not resuscitate is a signed legal order that states that a patient is not to be administered life-saving procedures if the heart or breathing stops.
Emergency Procedures Emergency procedures are actions performed in a hospital or at the scene of an emergency when someone requires immediate medical care.
Medical Procedures Medical procedures are actions performed on a patient, which can include tests using sophisticated medical technology.
CPR Cardiopulmonary resuscitation is an emergency procedure administered to a patient whose heart has stopped beating.
MRI Magnetic resonance imaging is an imaging technique that uses magnets to obtain structural or functional images of the body.
CAT Computer axial tomography is an imaging technique that uses invisible energy waves to obtain cross-sectional images of the body.
PET Positron emission tomography is an imaging technique that produces a three-dimensional image of a functional process in the body.
US Ultrasound is an imaging technique that uses sound waves to create images of structures inside the body.
ECG/ EKG Electrocardiogram is a measurement of the electrical activity of the heart over a period of time.
EEG Electroencephalogram is a measurement of the brain’s spontaneous electrical activity over a period of time.
ACLS Advanced cardiac life support is a series of life-sustaining procedures administered in response to major heart traumas.
ALS Advanced life support is a series of procedures administered to a patient to sustain vital life processes, such as breathing and heartbeat.
AAO Alert, awake, and oriented patients are awake, know who and where they are, recognize those around them, and know the date and time.
Afeb Afebrile indicates no fever and denotes a patient with a normal body temperature of approximately 98.6°F.
WA While awake indicates that an action must take place while the patient is awake.
LOC Loss of consciousness indicates that the patient at some point lost awareness and could not respond to cues.
ROM Range of motion is a description of the ability of a patient to move his or her joints.
Rx Prescription indicates the drugs a patient is currently taking or has formerly been ordered to take.
Px Prognosis is an indication of the probable course or outcome of a patient’s disease or condition.
B/ P Blood pressure describes the pressure of the blood against the tubes that it travels through.
BS Blood sugar refers to the amount of glucose in a patient’s blood.
FBW Fasting blood work is blood work taken after several hours of fasting, or not eating.
HR/ BPM Heart rate is a measure of how many times the heart beats in a minute.
KVO Keep vein open indicates that a catheter inserted into a blood vein should be kept at a constant drip rate.
Tx Treatment is the current method of treating the patient’s symptoms.
Hx History refers to a patient’s medical history.
CC Chief complaint indicates the reason the patient is seeking medical attention.
DAMA Discharge against medical advice is used on a discharge order to indicate that the patient requested to leave a medical facility although the medical supervisor advised against it.
Stat Stat means immediately, indicating that an order should be executed with no delay.
PRN As needed indicates that a medication should be dispensed as needed by the patient.
as tol As tolerated indicates that an activity can be done as long as it does not cause the patient discomfort.
b.i.d The abbreviation b.i.d. means twice a day, indicating that a prescription should be taken twice a day.
t.i.d The abbreviation t.i.d. means three times a day, indicating that a prescription should be taken three times a day.
Ad lib Ad lib means as desired, indicating that something is not restricted and may be done as the patient wishes.
Created by: Vaishnavi.
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