In: Nursing
Ms. Jones is here for AKI on CKD, stage 3. She also has a PMH of CHF, COPD, DM2, a R BKA, and a CVA in 2002. She is A&O x2, and has L sided weakness. The HOB needs to be >30 degrees because she has an NG with TF running at 40 cc/hr. Once her AKI resolves, she is going to have a PEG placed in IR. She is at high risk for aspiration, so she is currently NPO. NKA, but there is a note about an ADR to morphine. She is on tele, SR with 1st degree AVB and frequent PACs. She tolerates PROM exercises BID and is on SQ heparin for DVT prophylaxis. The lab didn’t draw her CBC this morning. VSS. She is A2 with transfers. She has APAP scheduled QID. She last had pain meds with the HS med pass. They might do a MRI tomorrow.
Abbreviation: |
Meaning of Abbreviation: |
Abbreviation: |
Meaning of Abbreviation: |
AKI |
NKA |
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CKD |
ADR |
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PMH |
tele |
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CHF |
SR |
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COPD |
1st degree AVB |
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DM2 |
PACs |
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R BKA |
PROM |
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CVA |
BID |
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A&O x2 |
SQ |
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L sided |
DVT |
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weakness |
CBC |
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HOB |
VSS |
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NG |
A2 |
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TF |
APAP |
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AKI |
QID |
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PEG |
HS |
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IR |
MRI |
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NPO |
Abbreviation | Meaning of Abbreviation |
---|---|
AKI | Acute Kidney Injury |
CKD | Chronic Kidney Disease |
PMH | Past Medical History |
CHF | Congestive Heart Failure |
COPD | Chronic Obstructive Pulmonary Disease |
DM2 | Type 2 Diabetes Mellitus |
R BKA | Right Below Knee Amputation |
CVA | Cerebrovascular Accident |
A & O x 2 |
Aware and Oriented X 2 stand for person and place |
L Sided Weakness | Left-Sided Weakness |
HOB | Head Of Bed |
NG | NasoGastric Tube |
TF | Tube Feeding |
AKI | Acute Kidney Injury |
PEG | Percutaneous Endoscopic Gastrostomy |
IR | Interventional radiology |
NPO | Nothing By Mouth |
ADR |
Adverse Drug Reaction |
Tele |
Telecardiogram |
SR | Sarcoplasmic Reticulum |
AVB | Atrioventricular Block |
PAC | Premature Atrial Contraction |
PROM | Passive range of motion |
BID | Twice a day |
SQ | Subcutaneous |
DVT | Deep Vein Thrombosis |
CBC | Complete blood count |
VSS | Vital Signs Stable |
A2 | Angiotensin 2 |
APAP | Acetaminophen |
QID | 4 times a day |
HS | At bedtime or half-strength |
MRI | Magnetic resonance imaging |
NKA | No Known Allergies |