Common Charting Abbreviations

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1

ad lib

as desired

2

b.i.d

twice a day

3

BP

blood pressure

4

CC

chief complaint

5

CBC

complete blood count

6

CCU

coronary care unit

7

c/o

complains of (patient's report of a symptom)

8

CP

chest pain

9

D/C

discontinue

discharge

10

decrease

decreasing

11

Dx

diagnosis

12

ETOH

ethyl alcohol (beverage alcohol)

13

female

14

HEENT

head, eyes, ears, nose, throat

15

H&P

history and physical

16

HPI

history of present illness

17

HTN

hypertension

high blood pressure

18

hx

medical history

19

IM

intramuscular

20

IMP

impression (related to diagnosis)

21

increased

increasing

22

IP

inpatient

23

IV

intravenously

24

left

25

®

right

26

male

27

NKA

no known allergies

28

NKDA

no known drug allergies

29

n.p.o.

nothing by mouth

30

OP

outpatient

31

P

pulse

32

PAR

postanesthesia recovery

33

PERRLA

pupils equal, round, reactive to light and accommodation

34

PMH

past medical history

35

p.o.

by mouth

36

p.r.n

as needed

37

pt

patient

38

q.2h.

every two hours

39

q.4h.

every four hours

40

R

respirations

41

R/O

rule out

42

ROM

range of motion

43

ROS

review of systems

44

RRR

regular rate and rhythm (refers to heart)

45

RTC

return to clinic

46

RTO

return to office

47

SOB

shortness of breath

48

stat.

at once

immediately

49

T

temperature

50

t.i.d.

three times daily

51

Tx

treatment

52

VS

vital signs

53

WNL

within normal limits