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Bicol University

COLLEGE OF NURSING
Legazpi City, Albay
___________________________________________________________________________

Name: Kristine E. Labanon Course, Year & Block: BSN-4B

Patient name: Comahig, M. Age: 18


Sex: Female Bed: 6
Civil Status: Single
Diagnosis: Non Hodgkin’s Lymphoma in anterior mediastinum.

FDAR CHARTING

Date & Time Focus Progress Note

11/ 20/2023 Pain D: Pt verbalized squeezing


0800 pain during cough in anterior
mediastinum, 3/10.
A: Assisted pt to maintain high
fowler's position as tolerated.
Encourage pt to increase fluid
intake to 3L per day. Educated
pt on proper coughing and
deep breathing techniques.
R: Pt expressed relief, rates
pain 1/10. ————————---

Kristine Labanon, S.N


BUCN Level IV - Group 7

1200 Ineffective Breathing D: Increased respiratory rate of


Pattern 25 bpm. Use of accessory
muscle to breathe. Presence of
unproductive cough.
A: Assisted pt in a high fowler's
position. Educated pt on
relaxing breathing exercises
and proper coughing
techniques.
R: Pt verbalizes relief in her
position and shows
improvement on her coughing
technique. RR is 18. ————

Kristine Labanon, S.N


BUCN Level IV - Group 7

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