FDAR CHARTING

Patient Name: Guarin Asuncion (Bed 5)

Student Name: Khia Marie J. Belmonte

Date and time Focus Progress Notes

08/17/20
8:00 am Presence of Blood in Urine D:with Foley catheter
attached to urineBag

Urinalysis shows there is

presence of RBC- 15

A:inform client of laboratory

results

Encouraged to increase water

intake

Site the exact medications

R: patient participated in the
treatment

9:00 am Pedal Edema D: Patient verbalized “gasakit

akon tiil”
Swelling of both feet is
observed
A: Elevated the lower
extemities 30 degrees using
pillow

Encouraged patient to reduce

salt intake
R: patient verbalized “daw
nag mayo mayopamatyagko”
after the nurse elevated her
feet

10:00 Difficulty of breathing D: Patient verbalized “indiko

mayo kaginhawa”
With at ____ liters/min via
nasal cannula
Chest Xray shows Pulmonary
congestions

RR: 25 Bpm
A: oxygen regulated at 2
liters/min

Encouraged deep breathing

exercises
Placed on high fowlers
position
R: Patient was able to do
deep breathing exercise and
was calm afterwards