WESLEYAN UNIVERSITY - PHILIPPINES

Mabini Extension, Cabanatuan City

COLLEGE OF NURSING

Name of Generic Dosage Indication / Action/ Shape and Color of Nursing Implications/
Medication Name Contraindication / Medication Card to used Nursing Responsibilities
(Brand Adverse Effect
Name)
Dosage: (a Indication: ( ano ang Front: (Your responsibilities as a
per order) use ng amut) nurse kapag i-administer
itong gamut. Ano dapat
Route (given Action: (kung paano ito yung mga gagawin mo
via what nagpr-produce ng effect before, during and after ng
route?) sa katawan ng iinom) administrationg ng gamot.)

Frequency Contraindication:
(how many (sino yung mga patient
time should na may existing disease
patient take na kapag ito ay tinake
this med?) may possibility na hindi
na magiging maganda
ang effect nito sa kanila)

Adverse Effect:
(possible body reaction Back:
sa mga patient once na
ma-take nila ito. Like for
example nakakaramdam
sila ng dizziness, rash,
nausea and vomiting
etc.)