SAINT GABRIEL COLLEGE COLLEGE OF NURSING
DRUG STUDY Name of Patient: _________________________________ Age: _____________________ Ward/Bed Number: ________ Name of Drug
Dosage, Route, Frequency, Timing
Generic:
Dosage:
Brand:
Route:
Classification
Frequency:
Mechanism of Action
Indication
Adverse Reactions
Contraindications
Side Effects
Functional:
Chemical:
Attending Physician: ________________ Impression/Diagnosis: ________________________
Timing:
Student’s Name: ______________________________________ Clinical Instructor: _____________________________________
Special Precautions
Nursing Responsibilities