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UNIVERSITY OF SAN JOSE – RECOLETOS

School of Allied Medical Science


Department of Nursing

DRUG STUDY
Name of Student: _____________________________ Year Level:__________________ Date:__________________ Area of Exposure:_____________________
Client Initials: _______________________ Diagnosis/es:__________________________________________________________________________________________________________

Classification and Mechanism of Side Effects / Adverse


Name of Drug Indication and Dosage Contraindication Nursing Responsibilities
Action Reaction

Generic Name: Therapeutic Classification: Indication: Before:

Brand Name:

Pharmacologic Class: Dose:

During:
Mechanism of Action: Route:

After:

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