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NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms)

Generic Name %eak Trade Name &nset Classification !ration ose Ro!te Time"fre#!enc$

Normal dosa'e ran'e

Wh$ is $o!r (atient 'ettin' this medication

For )* meds+ com(ati,ilit$ -ith )* dri(s and"or sol!tions N!rsin' )m(lications .-hat to foc!s on/ Contraindications/warnings/interactions Common side effects

Mechanism of action and indications (Why med ordered)

)nteractions -ith other (atient dr!'s+ &TC or her,al medicines (ask patient specifically)

0a, 1al!e alterations ca!sed ,$ medicine 2e s!re to teach the (atient the follo-in' a,o!t this medication

N!rsin' %rocess3 4ssessment (Pre-administration assessment)

4ssessment Why would you hold or not give this med?

51al!ation Check after giving

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