Physician’s Orders 1. 2. 3. 4. 5. Diagnosis: Congestive Heart Failure Intermittent Positive Pressure Breathing every 4 hours Chest x-ray immediately Arterial blood gases, complete blood count, electrolytes, and urinalysis Intravenous of normal saline at 100 cubic centimeters per hour Physician’s Orders 1. 2. 3. 4. 5. Dx: CHF IPPB q4h CXR stat ABGs, CBC, lytes, UA IV of NS @ 100cc/hr Physician’s Orders 1. 2. 3. 4. 5. Diagnosis: Congestive Heart Failure Intermittent Positive Pressure Breathing every 4 hours Chest x-ray immediately Arterial blood gases, complete blood count, electrolytes, and urinalysis Intravenous of normal saline at 100 cubic centimeters per hour Physician’s Orders w/ Abbreviations 1. 2. 3. 4. 5. Dx: CHF IPPB q4h CXR stat ABGs, CBC, lytes, UA IV of NS @ 100cc/hr Medical Abbreviations *Medical abbreviations are used to cut down on the time spent documenting patient care *Some abbreviations are universal - others are specific to areas of the country or medical facilities *Upper and lower case specific EX: pt = patient PT = physical therapy *It is YOUR responsibility to know the approved medical abbreviations for your medical facility Assigned Abbreviations c : with s : without p : after a : before @ : at ad lib : as desired ASAP : as soon as possible c/o : complains of d : day Dx, dx : diagnosis (what’s wrong) h : hour MD : medical doctor prn : as needed q : every pt : patient stat : immediately TLC : tender, loving care bid : twice a day qid : four times a day tid : three times a day qod : every other day tx : treatment Sx : sign, symptom VS : vital signs HOB : head of bed D/C : discharge, discontinue CXR : chest x ray Hx : History NPO: nothing by mouth