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Nothing by mouth is an American medical instruction meaning to withhold food and fluids. It is also known as nil per os (npo or NPO), a Latin phrase that translates to English as "nothing through the mouth". Nil by mouth is the term used in the UK (NBM), nihil/non/nulla per os, or complete bowel rest. [1]
The main discussion of these abbreviations in the context of drug prescriptions and other medical prescriptions is at List of abbreviations used in medical prescriptions. Some of these abbreviations are best not used, as marked and explained here.
Oral (PO), swallowed tablet, capsule or liquid; Enteral medications come in various forms, including [3] oral solid dosage (OSD) forms: [4] Tablets to swallow, chew or dissolve in water or under the tongue; Capsules and chewable capsules (with a coating that dissolves in the stomach or bowel to release the medication there)
This is a list of abbreviations used in medical prescriptions, including hospital orders (the patient-directed part of which is referred to as sig codes). This list does not include abbreviations for pharmaceuticals or drug name suffixes such as CD, CR, ER, XT (See Time release technology § List of abbreviations for those).
Pronunciation follows convention outside the medical field, in which acronyms are generally pronounced as if they were a word (JAMA, SIDS), initialisms are generally pronounced as individual letters (DNA, SSRI), and abbreviations generally use the expansion (soln. = "solution", sup. = "superior").
The patient is kept NPO (nil per os) or NBM (nothing by mouth) for at least 4 hours before the procedure. Most patients tolerate the procedure with only topical anesthesia of the oropharynx using lidocaine spray. However, some patients may need sedation and the very anxious/agitated patient may even need a general anesthetic.
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NPO: nil per os (nothing by mouth) NPPV: noninvasive positive pressure ventilation NPT: neuropsychiatric testing NPTAC: no previous tracing available for comparison NPV: negative predictive value NRB: non-rebreather mask: NRBC: nucleated red blood cells NREM: non–rapid eye movement: NRT nicotine replacement therapy: n.s. not significant: NS ...