CAPITOL UNIVERSITY

COLLEGE OF NURSING

Name of Student: ______________________________ Date of Assignment: _________________ ____
Name of Patient: _______________________________ Ward: _________________________ Bed no.:____________________

DRUG STUDY

DRUG ORDER
(Generic name, Brand
name, classification,
dosage, route, frequency)
MECHANISM OF ACTION INDICATIONS CONTRAINDICATIONS
ADVERSE EFFECTS OF THE
DRUG
NURSING
RESPONSIBILITIES/
PRECAUTIONS