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  • Patient Diagnosis #1 #2 #3 #4 #5 #6 For What Reason Is The Patient Taking This Drug? What Is The Dosage, Frequency and

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    Laurlily619
    39 views2 pages

    Original Title

    Drug Card Template

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    39 views2 pages

    Patient Diagnosis #1 #2 #3 #4 #5 #6 For What Reason Is The Patient Taking This Drug? What Is The Dosage, Frequency and

    Uploaded by

    Laurlily619

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Drug Information Sheet

    May use alternate format but must include all information


    Name of medication
    Generic

    Classification

    Indications for use

    Side effects / Most common

    Contraindications

    Trade
    Mechanism of action

    Safe for breastfeeding?

    Nursing Implications

    Patient Education

    Notes

    Antedote / Tx for overdo


    Can it be crushed?

    Patient Diagnosis
    #1
    #2
    #3
    #4
    #5
    #6

    For what reason is the patient taking


    this drug?

    What is the dosage, freq


    route for this patie

    ons for use

    dications

    breastfeeding?

    e / Tx for overdose

    he dosage, frequency and


    oute for this patient?

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