The document is a drug analysis form from the College of Nursing and Allied Health Sciences at the University of Eastern Philippines. It collects information about a patient's name, admission details, chief complaint, demographic information, and then lists sections to provide details on the generic and brand name of a drug, its dosage, route of administration, frequency, classification, indications, contraindications, drug interactions, adverse reactions, precautions, and nursing responsibilities for the patient.
The document is a drug analysis form from the College of Nursing and Allied Health Sciences at the University of Eastern Philippines. It collects information about a patient's name, admission details, chief complaint, demographic information, and then lists sections to provide details on the generic and brand name of a drug, its dosage, route of administration, frequency, classification, indications, contraindications, drug interactions, adverse reactions, precautions, and nursing responsibilities for the patient.
The document is a drug analysis form from the College of Nursing and Allied Health Sciences at the University of Eastern Philippines. It collects information about a patient's name, admission details, chief complaint, demographic information, and then lists sections to provide details on the generic and brand name of a drug, its dosage, route of administration, frequency, classification, indications, contraindications, drug interactions, adverse reactions, precautions, and nursing responsibilities for the patient.
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COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES
DRUG ANALYSIS Name of Patient:____________________________ Date Admitted:_________ Chief Complaint:__________ Case Number:__________ Age:___ Gender:______ Civil Status:________ Address:____________________________ Ward:_____ AP:_______________________ NAME OF SPECIFIC INDICATION CONTRAINDICATIO DRUG ADVERSE SPECIFIC NURSING DRUG ACTION N INTERACTION REACTION PRECAUTION RESPONSIBILITIES