Professional Documents
Culture Documents
DRUG STUDY
Name of Patient: Attending Physician:
_______________________________________________
Age: Sex: Civil Status: Diagnosis: ____________________________________________
Occupation:
Religion:
Address: Chief Complaint: _______________________________________
Ward: Room No.: Bed No.: Date of Admission: ___________________________________________
DATE/ BRAND ACTION INDICATION ROUTE/ DRUG ADVERSE PRECAUTION NURSING
NAME INTERACTION EFFECT CONTRADICT RESPONSIBILITIES
TIME DOSAGE/ ION
ORDERED
TIME
INTERVAL
Absorption: Stimulation
occurring
about 10-60 by vascular
minuets after
oral
administratio
n
Excretion:
Student Name: DENNILLE JAY T. VICENTE Year & Sec: BSN 2C Group
No: Rating:__________ References:___________________________________________________________________________________________________________
Criteria: Promptness (15%) Objectives of Care (10%),,
Format/Neatness (15%) Nursing Action (30%),
Assessment (15%) Evaluation (10%)
Nursing Diagnosis (15%)
Clinical Instructor:_ MA. LERHIE PARADILLO____