UNIVERSITY OF CEBU LAPU-LAPU AND MANDAUE

COLLEGE OF NURSING

DRUG STUDY

Patient: Age: Hospital No.: Room No.:

Impression/ Diagnosis: Attending Physician(s):

Allergy to:

Generic/ Brand Dose,

Indication/ Mechanisms Adverse/ Side Effects Nursing
Name & Strength & Rationale Client Teaching
of Drug Action Drug Interaction Responsibilities
Classification Formulation
Generic: Ordered: Indication: -

Timing:
Brand:

Duration:
Mechanism of Action:

Classification:
Other Forms:

Source: