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UNIVERSITY OF SAN JOSE RECOLETOS

COLLEGE OF NURSING
Cebu City

DRUG STUDY

Name: _________________________________________________________________

Complaints: ___________________________________________________________

Age: ________ Sex: _______________ Status: _______________________________

Diagnosis/Impression: ___________________________________________________

Religion: ________________________

_____________________________________________________________________

Occupation: __________________________

Date of Admission: ______________________________________________________

NAME OF DRUG

CLASSIFICATION / MOA

INDICATION / DOSAGE

Student Nurse Assigned: __________________________________________________

CONTRAINDICATION

SIDE-EFFECTS /
ADVERSE REACTION

NURSING
RESPONSIBILITES

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