NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Name Classification Dose Route Time/frequency

Name Theragran Vitamin 1 tab PO daily
Multiple supplement
vitamins
Peak Onset Duration Normal dosage range
unknown unknown unknown 1 dosage unit (tablet/capsule/dropperful)/day or
amount recommended by individual manufacturer
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Treatment and prevention of vitamin deficiency solutions
N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
d
e
H
v
y
e
p
l
e
o
r
p
s
m
e
e
n
n
s
t
i
.
t
i
M
v
a
i
n
t
y
y
a
t
c
o
t
p
a
r
s
e
s
c
e
o
r
e
v
n
a
z
t
y
i
m
v
e
e
s
s
,
o
r
c
o
c
l
a
o
t
r
a
a
l
n
y
t
s
s
t
Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) None known
None known for this patient
Be sure to teach the patient the following about this
medication
Encourage patient to comply with recommendations of
health care professional. Explain that the best source
of vitamins is a well-balanced diet with foods from the
4 basic food groups.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for nutritionally med? Prevention or decrease
balanced/imbalanced diet. Excessive intake of fat soluble in the symptoms of
vitamins. vitamin deficiency.