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BULACAN STATE UNIVERSITY

COLLEGE OF NURSING
City of Malolos, Bulacan

DRUG STUDY
Patient’s Initial: _______________________ Age: ________ Gender: _____ Date Handled: _________________ Medical Diagnosis: ______________
Chief Complaint: _________________________ Hospital: ________________________________________________ Ward/Clinical Area: __________________

Medications Date Ordered/ Route of Mechanism of Indication Contraindication Client’s Response Nursing
Given/ Taken Administration/ Action Responsibilities
Dosage
Frequency
Generic: Prior:

Brand:

Classification:

During:

BulSU-OP-CON-23F1
Revision: 0
After:

Student’s Name: _____________________________________________ Yr&Sec/Group No. _________ Clinical Instructor: ______________________________

BulSU-OP-CON-23F1
Revision: 0

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