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West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY
Name of Patient: G.M Attending Physician: Dr.J
Age: 33 yrs old Ward/Bed Number:OBSW Impression/Diagnosis:
Dosage, Route,
Name of Drug Frequency and Mechanisms of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: instill 4-6 Readily absorbed. Overgrowth of non-  Wash your hands before
times daily Protein binding: 30%– Superficial ocular Allergic reactions susceptible administering the ointment
Oxytetracycline HCl 60%. Widely infections organisms
5 mg polymyxin B distributed. Excreted
sulfate in urine; eliminated in
Route: feces through biliary
Brand: system
Terramycin
Opthalmic
Ointment
Frequency:
Classification Contraindications Side Effects
Functional:
Prevents the
growth of
microorganisms Timing:

Chemical:
Anti-Infective

Student’s Name:
Clinical Instructor:

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