Sei sulla pagina 1di 2

Name of Patient: Age: Room/Ward # Chief Complaint:

Date: Student Nurse: Physician:

D R U G T H E R A P E U T I C R E C O R D
DRUG/DOSE/ROUTE/ FREQUENCY/TIMING CLASSIFICATION/MECHANISM OF ACTION INDICATIONS/CONTRAINDICATIONS/ SIDE EFFECTS PRINCIPLE OF CARE TREATMENT EVALUATION

Potrebbero piacerti anche