Documentation Guidelines

• Location, intensity, and frequency of pain, and the factors that relieve pain

• Appearance of abdominal wound (color, temperature, intactness, drainage)

• Evidence of stability of vital signs, hydration status, bowel sounds, electrolytes

• Presence of complications: Hypotension, hypertension, cardiac dysrhythmias, low urine output, thrombophlebitis, infection, graft occlusion, changes in consciousness, aneurysm rupture, excessive anxiety, poor wound healing

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