NAME: SUBJECT:

YEAR & SECTION: RLE GROUP:

DRUG STUDY

DRUG MECHANISM INDICATION CONTRA SIDE EFFECT NURSING

OF ACTION INDICATION CONSIDERATION

GENERIC NAME:

BRAND NAME:

CLASSIFICATION:

PHARMACOLOGY:

FREQUENCY:

DOSAGE:

DATE
PRESCRIBED:
 NURSING CARE PLAN

Nursing Diagnosis:
Problem Analysis:

CUES OBJECTIVES NURSING RATIONALE EVALUATION

INTERVENTION
SUBJECTIVE: Short-Term Independent: Independent: Short term:

OBJECTIVE:
Vital signs: Long-Term: Dependent: Dependent: Long term: