ABBREVIATIONS abs abdomen ER emergency room ac before meals F Fahrenheit ADL activites of daily living FBS fasting blood sugar ad lib as desired FF force fluids Adm admitted or admission fl (fld) fluid AM (am) morning ft foot or feet amb ambulatory gal gallon amt amount GB gallbladder ap apical GI gastrointestinal approx approximately GSW gunshot wound bid twice a day h (hr) hour bm bowel movement H2O water BP blood pressure HS (hs) hour of sleep BRP bathroom privileges ht height c with ICU intensive care unit C centigrade in inch Ca cancer, calcium I&O intake and output Cath catheter IV intravenous CBC complete blood count L left, liter CBR complete bed rest Lab laboratory cc cubic centimeter lb pound CCU coronary care unit liq liquid CNA certified nursing ass=t LLQ left lower quadrant c/o complains of LMP last menstrual period CPR cardiopulmonary resuscitation LPN licensed practical nurse dc (d/c) discontinue lt left DOA dead on arrival LVN licensed vocational nurse DON director of nursing LUQ left upper quadrant drsg dressing meds medications Dx diagnosis mid noc midnight ECG (EKG) electrocardiogram min minute EEG electroencephalogram ml milliliter NA nursing assistant RLQ right lower quadrant neg negative RN registered nurse nil none ROM range of motion no number RR recovery room noc night RUQ right upper quadrant NPO (npo) nothing by mouth s without O2 oxygen SOB shortness of breath OB obstetrics spec specimen OJ orange juice SSE soapsuds enema OOB out of bed stat at once, immediately OR operating room surg surgery OT occupational therapy tbsp tablespoon oz (Oz) ounce tid three times a day PAR postanesthesia room TLC tender loving care pc after meals TPR temp, pulse, and resp. Peds pediatrics tsp teaspoon per by, through u/a urinalysis PM (pm) after noon vs vital signs po (per os) by mouth WBC postop postoperative preop preoperative w/c white blood cell, white blood count wheelchair prep preparation wt weight prn when necessary pt patient PT physical therapy q every qd every day qh every hour q2h, q3h, etc. every 2 hrs, 3 hrs, etc. qhs every night at bedtime qid four times a day qod every other day R rectal temperature; respiration, right red blood cell; red blood count RBC VOCABULARY Abdominal thrust Abduction Abduction/splint/wedge Active/passive range of motions Acute Adduction Antepartum Antiembolism stockings/ Aphasia Apical Aspiration Autism Bardycardia Bed board Bed cradle Bipolar Brachial artery Care plans Carotid artery Cerebral Palsy Chemotherapy Cheyne‐Stokes Chronic Circumcision Clean catch/midstream Closed bed Condom/Texas catheter Contracture Heimlich maneuver B action taken to expel lodged object out of throat by air from the lungs bringing away from the midline of the body used to position a part of the body away from the midline moving a joint of the body through all available motions, passive, nurse does for pt, active pt does movements with assist as needed sudden onset, short term illness bringing toward the midline before labor or childbirth thick white stockings put on legs to increase circulation inability to speak; receptive: inability to receive information correctly, expressive: inability to express information correctly pulse heard at apex of the heart with a stethoscope inhaled foreign substance into the lung tendency to self absorption at expense of outward reality slow heart rate flat board at foot of bed to prevent foot drop‐plantar flexion metal frame that keeps the weight of top linens off the feet, helps prevent foot drop and pressure sores mood disorder, alternating between mania and depression place a pulse can be felt above bend in elbow written plan of care, including diagnosis, medications, treatments, prognosis, assessment place a pulse can be felt at the side of the neck defect of motor power and coordination, r/t brain damage giving chemicals that have a specific toxic effect on a disease causing microorganism bizarre breathing pattern, period of apnea lasting 10‐60 seconds followed by gradually increasing depth and frequency of respirations slow progression, long term illness removal of the penile prepuce pt. cleans perineum, begins voiding, stops, then voids bed not in use B top linens not folded back external male catheter permanent contraction of a muscle due to spasm or paralysis 1 Customs Cyanosis Defense Mechanisms Dehiscence Delegation Delusions Dementia Depression Diastole/Diastolic pressure DOPL Down drain Draw/lift sheets Dysphagia Dyspnea Eating Disorders Elizabeth Kubler‐Ross acceptance Embolus Emesis Empathy Exposure incident Extension Face mask Finger Stick Blood Flatus Flexion Foley Catheter French Glucometer sample of blood into it Glucose Testing generally accepted practice or behavior by a particular group of people blue condition of skin due to low levels of oxygen used by all persons to cope with anxiety bursting open, splitting or gaping wound the act of transferring authority to a person for a specific task persistent false beliefs loss of cognitive function (thinking, remembering, reasoning) caused by changes in the brain feelings of sadness, loneliness, despair, low self esteem resting phase of the heart B last sound heard when taking a blood Dept. of Occupational and Professional Licensing ‐ state agency that regulates licensing of professionals attachment to catheter to collect urine an extra sheet placed on top of the bottom sheet when the bed is made; also called a turning sheet, used to help move patients in bed difficulty swallowing difficulty breathing anorexia, bulimia, binge eating stages of grieving/loss B denial, anger, bargaining, depression, blood clot vomiting entering into the feelings of others. eye, mouth or mucous membrane contact with blood or other potentially infectious material as a result of employee duties increasing the angle of a joint mask put over mouth and nose to administer O2 checking blood sugar level by getting blood from gas decreasing the angle of a joint catheter that stays in, also called indwelling machine to tell you what the blood sugar level is by inserting poking finger with sterile lancet 2 Graduate pitcher Hemiplegia High Fowler’s Hip precautions Holistic Home Health Team patients Hypertension Incident Integumentary system Kardex Life support systems Living will Lochia Log rolling Maslow’s Hierarchy of needs Medicaid Medical Asepsis Medicare Metastasis Mitered corner Module E MSDS Nasal cannula Nasogastric Tube NCR/DNR measuring container for intake and output paralysis on right or left side of body possibly due to stroke head elevated 45 ‐ 60 degrees positions to avoid after a total hip replacement, do not adduct, flex or internally rotate (do not cross legs) a type of care that involved considering a whole system, such as a whole person, rather than dividing the system into parts all members of health team that provide care for home health high blood pressure (higher than 140/90) an accident or unexpected event during the course of care that is not part of the normal routine in a healthcare facility consists of skin, hair, and nails updated record of pt. care, including all current MD orders done in pencil CPR, crash cart, ventilator, actions used to support and continue prepared statement when an individual is well, states life support devices and heroic measures are not to be used to prolong life discharge of mucous, blood and tissue after childbirth keeping trunk/spine straight while turning pt. on side, usually takes two people to do this basic survival needs, one is to be met before higher level can be met. Order physiological, safety, love and belonging, self‐ esteem, self‐actualization U.S. government program provides medical care for the poor condition free from germs and infection Federal medical and hospital care for the elderly movement of cells from one part of the body to another (usually cancer cells) hospital triangular corners to secure sheets Material Safety Data Sheets B includes all Aingredients@ in each material used in a facility, precautions to take and treatment for exposure to each material prongs into nostrils to administer O2 (NG tube) B tube placed into a nostril and goes down the esophagus to the stomach No Cardiac Resuscitation/do not resuscitate no action to be taken to revive someone; an order that tell a medical professional not to 3 Negligence Non‐pathogen Nosocomial NPO Objective OBRA Open bed Orthotics OSHA Osteoporosis Paraplegia Pathogen Perineal care/Peri‐care Peristalsis Physiological Polydipsia Polyphagia Polyuria Postpartum PPE Pressure sore Psychological Pulse Obliteration Quadraplegia RACE Radial artery perform CPR actions, or the failure to act or provide the proper care, that result in unintended injury to a person. microorganism or substance that is not capable of causing disease hospital acquired infection nothing by mouth B don’t give anything to eat or drink measurable findings B temp, red skin, etc. Omnibus Budget Reconciliation Act B 1987 federal law that regulates training and care of the elderly top linens are fan folded to foot of bed B bed in lowest position mechanical appliances for orthopedic use Occupational Safety and Health Administration B government agency responsible for regulation of blood borne pathogen standards a disease that causes bones to become porous and brittle paralysis of lower body and legs, spinal cord injury disease causing agent cleaning, maintaining good skin condition around the private parts of perineum involuntary muscle contraction of digestive system, moves food along concerning body function increased thirst increased hunger increased urine output B three symptoms of diabetes after labor or childbirth Personal Protective Equipment B includes gloves, mask, gowns a serious wound resulting from skin breakdown; also called bed sore or decubitus ulcer; may result from patient being left in one position for long periods of time study of the mind in all its relationships, normal and abnormal two step method way of accurately measuring B/P, feel for radial pulse while pumping B/P cuff up, when you don’t feel the pulse, pump 30 mm higher and slowly release to hear sound paralysis of arms and legs, cervical spinal cord injury Rescue Alarm Contain Extinguisher – pertains to fire, order of action place a pulse can be felt at the thumb side of the wrist 4 Radiation Range of motion (ROM) exercises Restraint Reverse Trendelenberg Sample/Speci‐Pan/Hat Seizure Schizophrenia Semi‐Flowler’s Semi‐Prone/Sims Spina Bifida Sputum Standard Precautions Sterile Straight Catheter Subjective Sundowning Supine Suprapubic catheter Surgical bed Systole/Systolic Tachycardia Tachypnea Thickened liquids Tracheostomy Trapeze Trendelenberg Trochanter Roll process which energy is propagated through space cancer treatment exercise that put a joint through its full arc of motion a physical or chemical way to restrict voluntary movement or behavior raise head of the bed, lower foot of bed pan placed in toilet to measure output involuntary, often violent contractions of the muscles psychosis thought disorder, withdrawal, difficulty with reality head (30 degrees ) and foot (15 degrees) slightly elevated side lying, upper leg sharply flexed so it is not on the lower leg, lower leg slightly flexed, lower arm behind pt. failure of fusion of the vertebrae substance expelled by coughing or clearing throat and respiratory tract handwashing, etc. used on every pt to prevent spread of germs and infections, PPE utilized for all pt. care free from living microorganisms, pathogens or nonpathogens catheter put in, let bladder drain and then remove; also called pt. feelings, statements or opinions, such as “I have a headache” increased signs, symptoms, and behaviors of Alzheimer’s disease during hours of darkness lying flat on the back catheter inserted through abdomen into bladder to drain urine B usually used to allow urethra and bladder to rest top linens folded to one side or to the very bottom of bed; bed is in highest position awaiting pt’s return on a stretcher from surgery beating phase of the heart the first sound you hear of the B/P fast heart rate rapid breathing powder added to water, etc., to make thicker; aids in swallowing a surgically‐created opening through the neck into the trachea triangular bar suspended from the overbed frame used to strengthen arm muscles and help with positioning in bed shock position lowers the head of the bed and raises the foot roll used to position thigh to prevent external rotation 5 urine specimen Utah Health Wound infection more, catching it into a specimen cup state agency that certifies for certifies Nurse’s Aides redness, odor, purulent drainage, increased pt. temp 6
