VISION Republic of the Philippines

A premier university in historic Cavite recognized for
Excellence in the development of morally upright and
globally competitive individuals.
Cavite State University shall provide excellent, equitable and
CAVITE STATE UNIVERSITY Don Severino Delas Alas relevant educational opportunities in the arts, science and
technology through quality instruction and relevant research and
Campus Indang, Cavite development activities. It shall produce professional, skilled and
MISSION morally upright individuals for global competitiveness.

College of Nursing

DRUG STUDY

Initials of patient: _________________ Age: ______ Sex: ______ Hospital / Ward/ Room Number/Bed #: __________________ Shift: _______________

DRUG MECHANISM OF ACTION INDICATION CONTRAINDICATIONS EFFECTS NURSING RESPONSIBILITIES

Generic Name: Side Effects:

Brand Name:

Classification:

Dosage:

Route: Adverse Effects:

Frequency:

Form:

Submitted by: __________________________ Date of Rotation: __________________ Clinical Instructor: ___________________________