Drug Card
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Clinical Form 3: Clinical Medications Worksheets
Generic Name
Trade Name
Peak
Classification
Onset
Dose
Duration
Why is your patient getting this medication
Route
Time/frequency
Normal dosage range
For IV meds, compatibility with IV drips and/or solutions
Rate of Administation
Mechanism of action and indications
Nursing Implications (what to focus on) Contraindications/warnings/interactions
(Why med ordered)
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
Evaluation
Why would you hold or not give this med?
Check after giving
Generic Name
Trade Name
Peak
Classification
Onset
Dose
Duration
Why is your patient getting this medication
Route
Time/frequency
Normal dosage range
For IV meds, compatibility with IV drips and/or solutions
Rate of Administation
Mechanism of action and indications
Nursing Implications (what to focus on) Contraindications/warnings/interactions
(Why med ordered)
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
Evaluation
Why would you hold or not give this med?
Check after giving
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