Drug Card Template
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INDEX Generic Name
Peak
Trade Name
Onset
NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency
Duration
Normal Dosage range
Why is your patient taking this medication?
For IV meds, compatability with IV drips and/or solutions
Mechanism of action and indications
Nursing Implications (what to focus on) Contraindications/warnings/interactions
Common side effects
Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically)
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Nursing Process - Assessment (Pre-administration assessment
Assessment Why would you hold or not give this med?
Evaluation Check after giving
Peak
Trade Name
Onset
NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency
Duration
Normal Dosage range
Why is your patient taking this medication?
For IV meds, compatability with IV drips and/or solutions
Mechanism of action and indications
Nursing Implications (what to focus on) Contraindications/warnings/interactions
Common side effects
Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically)
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Nursing Process - Assessment (Pre-administration assessment
Assessment Why would you hold or not give this med?
Evaluation Check after giving
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