Cebu Doctors’ University

COLLEGE OF NURSING
1 Dr. P. V. Larrazabal Jr. Avenue, North Reclamation, 6014 Mandaue City, Cebu, Philippines
Tel. No. +63 (32) 238-8746 loc. 8191-8192 Web: www.cebudoctorsuniversity.edu E-mail: cdu-cn@cebudoctorsuniversity.edu

Indications/
Drug/ Dose/ Classification/ Contraindications/ Side
Principles of Care Treatment Evaluation
Frequency/Route Mechanism of Action Effects/ Adverse
Reactions

Example: Classification: Indications: *Focus on the following: *These are dependent *Evaluation encompasses
nursing actions (requires the evaluation of the client
Metronidazole (Flagyl) -storage of the medication physician’s order) which pertinent to the nursing
500mg/tab 1 tab TID PO are relative to the problem, objective and
(0800H-1300H-1800H) Contraindications: -best time to take the medication and condition medication (therapeutic
medication with regards to of the client evaluation or untoward
meal (before, during or reactions).
after) Example:
Mechanism of Action: Side Effects: Perform perineal care
-what foods and beverages twice a day.
are encouraged and
*For the purpose of avoided while taking the *The sample presented is
pharmacodynamics Adverse Reactions: medication applicable to a client who *For pharmacodynamics
submission, indicate only delivered through NSVD submission, formulate an
the name of the -drug to drug interaction and is currently taking an evaluation relative to the
medication. (what medications can be antibiotic. medication prescribed.
taken concurrently and the
ones to be avoided) *For the purpose of
pharmacodynamics
submission, list down
applicable nursing
interventions with
consideration to the
condition of the patient
and the medication
prescribed.