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Feb 8, 2024 · NAD. Nothing abnormal detected/discovered. Commonly used when documenting examination findings (e.g. “Abdominal exam NAD”) SNT. Soft, non-tender. Used in the context of documenting abdominal examination findings (e.g. “Abdo SNT”) SLR. Straight leg raise. +ve / -ve.
- Meaning
- On examination
- Blood pressure
- Respiratory rate
CDE: Complete dental (oral) evaluation. cc: Cubic centimeters. For example, the amount of fluid removed from the body is recorded in ccs. Chem panel: Chemistry panel. A comprehensive screening blood test that indicates the status of the liver, kidneys, and electrolytes. CPAP: Continuous positive airway pressure.
- Table of Contents
- Medical and Nursing Terminologies
- Precautions
- Official “Do Not Use” List
- List of Common Medical and Nursing Abbreviations, Acronyms, and Terminologies
Healthcare professionals, including nurses and doctors, use a specialized set of vocabulary to ensure precise and efficient communication. These terms, often abbreviations or acronyms, are essential for clear documentation and effective patient care. When working within the medical and nursing fields, it’s important to distinguish between abbreviat...
Medical abbreviations and acronyms are essential for efficient communication within healthcare settings. However, their meanings can vary significantly between different agencies, hospitals, and regions. To prevent miscommunication and ensure patient safety, follow these precautions: 1. Always verify meaning. Always verify the meaning of any unfami...
The Joint Commission’s Official “Do Not Use” List aims to enhance patient safety by eliminating the use of dangerous abbreviations, acronyms, symbols, and dose designations that could lead to misinterpretation and medication errors. It applies to handwritten orders and free-text computer entries but not to preprogrammed health IT systems, though or...
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These terminologies can vary between different agencies and hospitals. This list serves only as a general reference for nurses. Always consult your hospital manual or institutional guidelines for the most accurate and specific information.
- Abrasion: A cut or scrape that typically isn’t serious.
- Abscess: A tender, fluid-filled pocket that forms in tissue, usually due to infection.
- Acute: Signifies a condition that begins abruptly and is sometimes severe, but the duration is short.
- Benign: Not cancerous.
The use of certain abbreviations can be dangerous and lead to patient injury or death. Examples of error-prone medical abbreviations include: IU (international unit): may be confused with “IV” (intravenous) µg (microgram): may be confused with mg (milligram) U (unit): may be mistaken for “0” (zero), increasing the dose tenfold.
PMHx: Past Medical History PO: to be taken by mouth PR: to be taken by rectum PRN: As needed PSHx: Past Surgical History Pt: Common abbreviation for patient PT: a measure how “thin” the blood is and reflect how your liver is working and/or how well blood thinners you are taking might be working – when referring to a lab
Apr 13, 2022 · There are several medical abbreviations that can be confusing to anyone outside of the healthcare field. Learn what some of the more common ones stand for here.
