MedicationsheetforpatientprofileBlank.doc

    Prince George's Community College

    Department of Nursing

    Medication Sheet to Accompany Patient Profile and Assessment

    Name & Classification

    Actions of the drug

    &

    Why is your patient receiving this drug?

    Patient

    Dosage

    &

    Safe dose range

    Common Side Effects

    Nursing Implications

    Generic:

    Brand:

    Functional

    Classification:

    Action:

    Pt. taking due to:

    Pt. Dose:

    Safe Dose Range:

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