UNIVERSITY OF CEBU - BANILAD

College of Nursing

DRUG STUDY
Patient: Age: Hospital No.: Room No.:
Impression/Diagnosis: Attending Physicians:
Allergy to:

Generic / Brand Name & Dose, Strength & Indications/Mechanisms of Adverse/Side Effects
Nursing Responsibilities Rationale Client Teaching
Classification Formulation Drug Action Drug Interaction

Generic: Ordered: Indications: Adverse Effects: Before: - EDUCATE THE

- DINOPROSTONE - ITS INDICATIONS IS - INCREASED UTERINE - CHECK DOCTOR’S ORDER - TO PREVENT FUTURE PATIENT THE
FOR THE RIPENING CONTRACTIONS, - CHECK THE PATIENTS COMPLICATIONS THAT IMPORTANCE OF
AND DILATATION OF AN VOMITING, FLUSHING OF CHART MAY ARISE INTO THE FOLLOWING THE
UNFAVORABLE CERVIX THE SKIN, BACK PAIN, PATIENT DRUG REGIMEN.
FETAL DISTRESS AND
- ALWAYS TAKE NURSING
IN PREGNANT WOMAN - TO MAKE SURE YOU GIVE - INSTRUCT THE
DIARRHEA. INITIATIVE
FOR LABOR THE RIGHT MEDICATION PATIENT TO
INDUCTION. - ASSESS PATIENTS
KNOWLEDGE ABOUT THE TO THE RIGHT PATIENT INFORM THE
Brand: PHYSICIAN
DRUG THERAPY
- PRIMIGYN - TO PROVIDE ABOUT THE
Timing:
KNOWLEDGE ABOUT THE OTHER
- MEDICATION
MEDICATION TO THE
PATIENT THAT THE
PATIENT HAS
Classification: Duration: Mechanism of Action: TAKEN.
- PROSTAGLANDI - IT HELPED WIDEN THE - INSTRUCT THE
NS CLASS OF - BIRTH CANAL OR PATIENT TO
DRUGS CERVIX AND FORCED Drug Interaction: NOTIFY THE
THE UTERUS TO - THIS DRUG IS
PHYSICIAN OR
CONTRACT SO THE CONTRAINDICATED IN THE NURSE
BABY COULD PASS PATIENTS WITH IMMEDIATELY
THROUGH. HYPERSENSITIVITY TO During: FOR SIGNS OF
Other forms: - PERFORM HANDWASHING
PROSTAGLANDINS, - TO PREVENT THE SIDE EFFECTS
- SUPPOSITORY PATIENT WITH A - CHECK AGAIN THE NAME ,
ROUTE AND DOSE OF THE SPREAD OF AND REPORT
HISTORY OF CESARIAN MICROORGANISMS ANY SIGNS OF
SECTION OR MAJOR DRUG AS WELL AS THE
EXPIRATION DATE BEFORE - TO ENSURE THE PATIENT EXPERIENCING
UTERINE SURGERY, ONE.
CEPHALOPELVIC ADMINISTERING TO THE IS RECEIVING THE
DISPROPORTION, PATIENT CORRECT MEDICATION
PATIENTS WITH HISTORY - GIVE THE REQUIRED DOSE FOR THE CORRECT
OF DIFFICULTY OF AND DURATION TO THE REASON
LABOR/AND OR PATIENT - TO PREVENT ERRORS TO
TRAUMATIC DELIVERY. THE PATIENT

After:
- WASH HANDS AFTER
APPLYING - TO PREVENT THE
- ALWAYS MONITOR THE SPREAD OF
PATIENT MICROORGANISMS
- CHECK FOR ANY SIGNS OF
ADVERSE REACTIONS TO
THE PATIENT - TO LOOK OUT FOR
 POSSIBLE PROBLEMS,
AND TO ASSESS
IMMEDIATLEY AND
APPROPRIATELY IF THEY
OCCUR

Printed Name and Signature: Printed Name and Signature: Navarro, April Jane B.
Clinical Instructor: Student/s:

Note: Please provide additional sheet/s if necessary.

UNIVERSITY OF CEBU- BANILAD
COLLEGE OF NURSING

DRUG STUDY
NAVARRO, APRIL JANE B.
OTAZA, JOSEPH JOSHUA
PARADIANG, GERARD DON
BSN 2D

MS.
CLINICAL INSTRUCTOR