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MEDICATION TICKETS

(label and color)

MEDICATION TICKET
Ward/Room #: COVID Ward
Name: ____Zack Tabudlo__________________________________________
Medicine: ________Piperacillin + Tazobactam__________________
_______________________________________________________________
Dosage: ______________390mg_____________________
Frequency: _____________Q6______________________________________________
Route: ___________IVTT__________________________________________

Date: __04/19/2021__________
Chua, Marielle P./Pegarro, KG.
NDU BSN 2 NDU CI
04/19/2021 4:30PM
NOD Signature Over Printed Name

MEDICATION TICKET
Ward/Room #: COVID Ward
Name: ____Zack Tabudlo__________________________________________
Medicine: ________Paracetamol__________________
_______________________________________________________________
Dosage: ______________100mg_____________________
Frequency: _____________Q4PRN__________________________________________
Route: ___________IVTT__________________________________________

Date: __04/19/2021__________
Chua, Marielle P./Pegarro, KG.
NDU BSN 2 NDU CI
04/19/2021 4:30PM
NOD Signature Over Printed Name
MEDICATION TICKET
Ward/Room #: COVID Ward
Name: ____Zack Tabudlo__________________________________________
Medicine: ________Carbamazipine 100mg/5ml syrup__________________
_______________________________________________________________
Dosage: ______________2.5ml_____________________
Frequency: _____________BID__________________________________________
Route: ___________p.o.__________________________________________

Date: __04/19/2021__________
Chua, Marielle P./Pegarro, KG.
NDU BSN 2 NDU CI
04/19/2021 4:30PM
NOD Signature Over Printed Name

MEDICATION TICKET
Ward/Room #: COVID Ward
Name: ____Zack Tabudlo__________________________________________
Medicine: ________Baclufen 10mg/tab__________________
_______________________________________________________________
Dosage: ______________1/2 tab_____________________
Frequency: _____________TID__________________________________________
Route: ___________p.o.__________________________________________

Date: __04/19/2021__________
Chua, Marielle P./Pegarro, KG.
NDU BSN 2 NDU CI
04/19/2021 4:30PM
NOD Signature Over Printed Name

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