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Drug Study Form Cacho

The document is a template for a drug study report used by nursing students at Mater Dei College. It includes sections for patient information, dosage details, side effects, nursing responsibilities, and evaluation. The form is designed to be filled out during clinical practice under the supervision of a clinical instructor.

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Yannah Alfonsa
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8 views

Drug Study Form Cacho

The document is a template for a drug study report used by nursing students at Mater Dei College. It includes sections for patient information, dosage details, side effects, nursing responsibilities, and evaluation. The form is designed to be filled out during clinical practice under the supervision of a clinical instructor.

Uploaded by

Yannah Alfonsa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NAME OF STUDENT: ________________________________ LEVEL & BLOCK: _____________ GROUP NO.

: _________

Mater Dei College


COLLEGE OF NURSING
DRUG STUDY

PATIENT’S NAME: ________________________________ ADDRESS: _________________________ IMPRESSION: ______________________________


DATE ADMITTED: ________________________________ WARD & ROOM #: ______________________________ STATUS: _______ AGE: ______ SEX: _______

DOSAGE
DATE / SIDE EFFECTS NURSING
GENERIC NAME ROUTE & CLASSIFICATION / CONTRA-
TIME & ADVERSE INDICATION RESPONSIBILI EVALUATION
NAME BRAND FREQUEN MECHANISM OF ACTION INDICATION
ORDERED EFFECTS -TIES
CY,
DOSAGE
DATE / SIDE EFFECTS NURSING
GENERIC NAME ROUTE & CLASSIFICATION / CONTRA-
TIME & ADVERSE INDICATION RESPONSIBILI EVALUATION
NAME BRAND FREQUEN MECHANISM OF ACTION INDICATION
ORDERED EFFECTS -TIES
CY,

Submitted to: _________________________________


CLINICAL INSTRUCTOR

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