UNIVERSITY OF SAN JOSE – RECOLETOS

School of Allied Medical Science

Nursing

DRUG STUDY
Name of Student: __________________________________ Year Level: ______________ Date:_____________ Area of Exposure: __________________________
Client Initials: _____________________________________ Diagnosis/es: _____________________________________ Doctor/s: _________________________________

Classification and Mechanism Indication and Side Effects /

Name of Drug Contraindication Nursing Responsibilities
of Action Dosage Adverse Reaction

Fluconazole

Classification and Mechanism Indication and Side Effects /

Name of Drug Contraindication Nursing Responsibilities
of Action Dosage Adverse Reaction
 UNIVERSITY OF SAN JOSE – RECOLETOS
School of Allied Medical Science
Nursing

NURSING CARE PLAN

Patient’s Name: ______________________________________________ Age: _________________________ Gender: _____________________ Status: ___________________________
Medical Diagnosis: ______________________________________________________________________ Physician:_________________________________________________________
Date of Admission: ________________________________________________________ Hospital:________________________________________________________________________
SUBJECTIVE OBJECTIVE NURSING SCIENTIFIC PLAN OF CARE
IMPLEMENTATION RATIONALE EVALUATION
CUES CUES DIAGNOSIS REFERENCE /OBJECTIVES