Name of Patient: Attending Physician: _____________________________ Age:

Ward/Bed Number: Impression / Diagnosis: ___________________________

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: interferes with bacterial Skin and soft tissue lethargy, paresthesia, Assess the patient before and
Cefalexin cell-wall synthesis, infections. first-line syncope, seizures. oral after giving the drug.
Route: causing cell to rupture prophylactic candidiasis, >Monitor patient’s vital signs.
and die. Active against postoperative oral pseudomembranous >Watch for drug’s side effects.
Brand: many gram-positive antibiotic. colitis
Keflex bacteria; shows limited
activity against gram-
negative bacteria.
Frequency:
Classification Contraindications Side Effects
Timing: hypersensitivity Fever, headache,
Antibiotic Edema, hypotension,
vasodilation,
palpitations, chest pain.
Nausea, vomiting,
diarrhea, abdominal
cramps,

Student’s Name: __________________________________________

Clinical Instructor: _________________________________________