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West Visayas State University

COLLEGE OF NURSING La
Paz, Iloilo City

DRUG STUDY
Name of Patient: Attending Physician:
Age: Ward/Bed Number: Impression / Diagnosis:

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage:

Route:
Brand:

Frequency:

Classification Contraindications Side Effects


Functional: Timing:

Chemical:

Student’s Name:
Clinical Instructor:

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