FDAR

1. F-Acute pain related to inadequate supply of oxygen on the myocardium leading to

irritation of nerve endings
D-Received patient lying supine on bed, Conscious and coherent
-With an ongoing IVF of D5W 500cc at KVO
-Weakness noted
-Limited ROM
-Pain Scale of 10/10
-With an initial Vital Signs of:
T=36.6

PR=78bpm

BP=110/70MMHg

RR=18cpm

A-Established rapport
-Monitored Vital Signs
-Promoted Comfort measure
-Use pain rating scale appropriate for age and cognition
-Determined factors in clients lifestyle
-Noted when pain occurs
-Suggested SO be present during procedures
-Encouraged adequate rest periods.
R-The patient verbalize and understand the student Nurses Health Teaching