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Drug Study Format for Ched

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abdielleandrea17
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23 views

Drug Study Format for Ched

Uploaded by

abdielleandrea17
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DRUG STUDY 1

STUDENT NAME: ______________________________DATE: _____________ PATIENT INITIAL: ______________ HOSPITAL NUMBER: ______________
GROUP: ___________________ DEPARTMENT/WARD: ________________ DIAGNOSIS: __________________________________

DRUG NAME DOSAGE/ MECHANISM OF INDICATION CONTRAINDICATIO ADVERSE NURSING


FREQUENCY/ ACTION N EFFECTS CONSIDERATION
ROUTE
GENERIC:NAME:

BRAND NAME:

CLASSIFICATION

GENERIC:NAME:

BRAND NAME:

CLASSIFICATION

REMARKS: ________________________________ CLINICAL INSTRUCTOR: _____________________________________


DRUG STUDY 2
STUDENT NAME: ______________________________DATE: _____________ PATIENT INITIAL: ______________ HOSPITAL NUMBER: ______________
GROUP: ___________________ DEPARTMENT/WARD: ________________ DIAGNOSIS: __________________________________

DRUG NAME DOSAGE/ MECHANISM OF INDICATION CONTRAINDICATIO ADVERSE NURSING


FREQUENCY/ ACTION N EFFECTS CONSIDERATION
ROUTE
GENERIC:NAME:

BRAND NAME:

CLASSIFICATION

GENERIC:NAME:

BRAND NAME:

CLASSIFICATION

REMARKS: ________________________________ CLINICAL INSTRUCTOR: _____________________________________


DRUG STUDY 3
STUDENT NAME: ______________________________DATE: _____________ PATIENT INITIAL: ______________ HOSPITAL NUMBER: ______________
GROUP: ___________________ DEPARTMENT/WARD: ________________ DIAGNOSIS: __________________________________

DRUG NAME DOSAGE/ MECHANISM OF INDICATION CONTRAINDICATIO ADVERSE NURSING


FREQUENCY/ ACTION N EFFECTS CONSIDERATION
ROUTE
GENERIC:NAME:

BRAND NAME:

CLASSIFICATION

GENERIC:NAME:

BRAND NAME:

CLASSIFICATION

REMARKS: ________________________________ CLINICAL INSTRUCTOR: _____________________________________

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