UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines

College of Nursing
Telephone No: (032) 231- 8631

DRUG STUDY

Patient : _______________________________________ Age : ____________________ Hospital No : __________________

Impression : _______________________________________ Attending Physician : ____________________ Room No : __________________

Allergic to : _______________________________________

GENERIC / BRAND DOSE, STRENGHT INDICATION/MECHANIS ADVERSE EDDECTS & NURSING CLIENT TEACHING
NAME & AND FORMULATION M OF ACTION CONTRAINDICATION RESPONSIBILITIES
CLASSIFICATION S
Generic: Ordered: Indication:

Brand: Timing::
Mechanism of Action:

Classification: Duration:

Other Forms:

Pharmacology Drug Study 1st Semester S.Y. 2020- 2021 UCBC Page 1