You are on page 1of 2

NAME OF CLIENT: SEX/AGE: WARD/BED:

MEDICAL DIAGNOSIS: DATE/TIME OF ADMISSION: NAME OF STUDENT:

DRUG STUDY

DRUG ORDER DRUG CLASSIFICATION AND INDICATIONS CONTRAINDICATIONS TO SIDE/ADVERSE NURSING RESPONSIBILITIES
PHARMACOLOGIC ACTION OF THE DRUG THE DRUG EFFECTS OF THE
OR MECHANISM DRUG

Other preparations: Other indications:

You might also like