Urdaneta City University

1 San Vicente West, Urdaneta City, Pangasinan 2428

(075) 568-2475 loc. 8110, Fax: (075) 600-1468
E-mail: ucuschoolofmidwifery@gmail.com

School of Midwifery
Established in 1973
LEVEL II ALCU-COA ACCREDITATION STATUS

MIDWIFERY PHARMACOLOGIC NOTES

DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY

ROUTE/ USES EFFECTS
(Generic Name/ FREQUENCY
Brand name, Local Market Price) PRE- INTRA- POST-
ADMINISTRATION ADMINISTRATION ADMINISTRATION
Generic Name:

Brand Name:

Local Market Price:

DRUG CLASSIFICATION MECHANISM PREGNANCY EFFECT ON EFFECT ON

OF ACTION RISK CATEGORY PREGNANCY LACTATION

Comment/ Remarks:
_____________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________

NAME of STUDENT:___________________________________________________ RATING:__________________ NAME of CI:_________________________________________________