CU-QMS-NURSING-0017

CAPITOL UNIVERSITY
COLLEGE OF NURSING
Name of Student: ________________________________________________________________________
Name of Patient: _________________________________________________________________________

Date of Assignment: ___________________
Ward: _______________ Bed# ____________

DRUG STUDY
DRUG ORDER
(generic name, brand
name, classification,
dosage,route,frequency
)

Issue: 05 April 2006

MECHANISM OF
ACTION

INDICATIONS

CONTRAINDICATIONS

ADVERSE EFFECTS OF
THE DRUG

NURSING
RESPONSIBILITIES/
PRECAUTIONS

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