Drug Card Template
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Transcript of Drug Card Template
NURS 1566 Clinical Form 3: Clinical Medications Worksheets(You will need to make additional copies of these forms)
Generic Name Trade Name Classification Dose Route Time/frequency
Peak Onset Duration Normal dosage range
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Mechanism of action and indications(Why med ordered)
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)
AssessmentWhy would you hold or not give this med?
EvaluationCheck after giving