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Republic of the Philippines

Cebu Normal University


Osmeña Blvd. Cebu City, 6000 Philippines

College of Nursing
Center of Excellence (COE) | Level IV Re-Accredited (AACCUP)
Telephone No.: (032) 254 4837
Email: cn@cnu.edu.ph/secretary@cnunursing.org
Website: www.cnu.edu.ph

DRUG STUDY
Patient’s Initials:______________________________________ Date of Admission:_________________________________________ Diagnosis:____________________________________________
Age:__________________________________________________ Height/Weight:_____________________________________________ Clinical Intervention: _________________________________
Sex:__________________________________________________ Ward:________ Bed No.:________ Name of Physician: __________________________________

Name of Drug Classification Mechanism of Action Indication Contraindication Side Effects Nursing Responsibilities
Source: Source/s: Source/s: Source/s: Source/s: Source: Source:
Drug Study Scoring 10 pts.
Name of Drug 1 pts.
Classification 1 pts.
Mechanism of Action 1 pts.
Indication 1 pts.
Contraindication 1 pts.
Side Effects 1 pts.
Nursing Responsibilities 3 pts.
Sources 1 pts. (at least 2 references)
Scoring System Criterion Reference: 70%

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