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NURSING CARE PLAN PATIENT INITIALS:

AGE:

DATE:

MEDICAL DIAGNOSIS:

ASSESSMENT SUBJECTIVE:

DIAGNOSIS

PLANNING SHORT TERM PLAN

INTERVENTION

RATIONALE

EVALUATION

INDEPENDENT EXPECTED OUTCOME :

OBJECTIVE:

OUTCOME: LONG TERM PLAN

NAHEDA M. ACLA, SN-III

LABORATORY PROCEDURE

RESULT

NORMAL RANGE

CLINICAL SIGNIFICANCE

NURSING IMPLICATIONS

NAME OF DRUG

CLASSIFI CATION

DOSE/ ROUTE/ FREQUENCY

MECHANISM OF ACTION

INDICATION

CONTRAINDICA TION

GENERIC NAME:

BRAND NAME:

DRUG STUDY

SIDE EFFECTS

NURSING IMPLICATIONS