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Drug Study Form

The document is a drug study template for nursing students at the University of Cebu - Lapulapu and Mandaue. It includes sections for patient information, drug classification, dosage, indications, side effects, nursing responsibilities, contraindications, and client teaching. The template is designed to assist students in documenting and understanding drug-related information in a clinical setting.

Uploaded by

Jennifer Jane Maylon
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We take content rights seriously. If you suspect this is your content, claim it here.
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42 views4 pages

Drug Study Form

The document is a drug study template for nursing students at the University of Cebu - Lapulapu and Mandaue. It includes sections for patient information, drug classification, dosage, indications, side effects, nursing responsibilities, contraindications, and client teaching. The template is designed to assist students in documenting and understanding drug-related information in a clinical setting.

Uploaded by

Jennifer Jane Maylon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

UNIVERSITY OF CEBU - LAPULAPU AND MANDAUE

A.C. Cortes Avenue, Looc, Mandaue City 6014,Cebu, Philippines


COLLEGE OF NURSING
Contact No.: 345-6666 loc. 6248| Email Address: [email protected]

DRUG STUDY

PATIENT: ___________________________________________________AGE: _____ HOSPITAL NO.:_____________________ ROOM NO.:________


IMPRESSION/DIAGNOSIS: _______________________________________ ATTENDING PHYSICIANS(S): ______________________________________
ALLERGY TO: ______________________________________________________ _________________________________
Generic/Brand Name and Dose, Strength, and Indication/Mechanisms Adverse/Side Effects of
Classification Formulation of Drug Action Drug Interaction Nursing Responsibilities Contraindications Client Teaching
(10%) (10%) (15%) (15%) (20%) (10%) (20%)

Generic: Ordered: Indication:

Timing:
Brand:

Classification:

Duration:

Signature over Printed Name Signature over Printed Name


STUDENT CLINICAL INSTRUCTOR
Generic/Brand Name and Dose, Strength, and Indication/Mechanisms Adverse/Side Effects of
Classification Formulation of Drug Action Drug Interaction Nursing Responsibilities Contraindications Client Teaching
(10%) (10%) (15%) (15%) (20%) (10%) (20%)

Other Forms: Mechanism of Action:


Generic/Brand Name and Dose, Strength, and Indication/Mechanisms Adverse/Side Effects of
Classification Formulation of Drug Action Drug Interaction Nursing Responsibilities Contraindications Client Teaching
(10%) (10%) (15%) (15%) (20%) (10%) (20%)

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