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Drug Worksheet

Student Name_______________________

Generic Proprietary Name: ________________________________________________


Pregnancy Risk Category: ___________
MECHANISM OF ACTION:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SPECIFIC USE FOR OBSTETRIC OR NEWBORNS:
Desired effect for pregnant, laboring, newly delivered women, postpartum, or newborn:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Conditions in which the drug is CONTRAINDICATED:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Dosage Range

Route

Frequency of Administration

SIDE EFFECT &/OR ADVERSE REACTIONS OF THE MEDICATION:


______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SPECIFIC OB/NEWBORN NURSING IMPLICATIONS &/OR PATIENT TEACHING:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________________
REFERENCES (APA FORMAT):
______________________________________________________________________
______________________________________________________________________
Daily Clinical Drug Worksheet
Fall One 2015
September 2015

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