Bulacan State University

COLLEGE OF NURSING
City of Malolos, Bulacan

DRUG STUDY

Patient's Initial: _________________________ Age: ______ Gender:_______ Date Handled:___________ Medical Diagnosis:_______________________________

Chief Complaint: ___________________________________________ Hospital: ____________________________________ Ward/Clinical Area:_______________________________

Route of
Medications Date Ordered/ Administration/ Mechanism Indication Contraindication Client's Nursing
Given/ Taken Dosage/ Frequency of Action Response Responsibilities

Generic: Magnesium Prior:

Sulfate

Brand: MgSO4

Classification:
Antidysrhythmics, V; During:
Electrolytes

After:

Student's Name:_____________________________________________ Yr & Sec/Group No.: _______________________ Clinical Instructor:_____________________________________

BulSU-OP-CON-21F9
Revision: 0