Student Medication Sheet

Drug Generic Name: _______________________________ Trade Name: __________________________

Major Drug Classification:___________________________Route:_______________________________

Drug Action:_________________________________________________________________________

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Uses: _______________________________________________________________________________

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Side Effects: _________________________________________________________________________

Adverse Reactions: ____________________________________________________________________

Dosage Range: ________________________________________________________________________

Nursing Implications: ___________________________________________________________________

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Individual Patient Information Related to this Drug

(1) date given, (2) why THIS patient received this drug, (3) at least one important aspect
related to the individual patient receiving this medication, and/or (4) what of the above
information varied depending on the individual patient situation.

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