West Visayas State University

COLLEGE OF NURSING
DRUG STUDY
Name of Patient:
Attending Physician:
Age:
Ward/ Bed Number:
Impression/ Diagnosis:
Name of Drug
Dosage, Route
Freq., Timing
Mechanism of Action
Indication
Adverse Reactions
Special Precautions
Nursing Responsibilities
Generic:

Brand:
Dosage:

Route:

Frequency:

Timing:

Classification Contraindication Side Effects

Functional:

Chemical:
Studentâ s Name:
Clinical Instructor: