POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

MacArthur Highway, Digos City

DRUG STUDY
Name of Patient: Jerry Sauret Attending Physician: Dr. Malasig
Age: 45 Sex: Male Civil Status: Married Diagnosis: High grade glioma S/P excision of
Occupation: Fisherman Religion: ISLAM
glioma
Address: Blk. 8 Ilang Davao City
Ward: Neuro Bed No. 2

DATE/TIME BRAND ACTION INDICATION ROUTE/DOSAGE/ DRUG ADVERSE PRECAUTION NURSING

ORDERED NAME TIME INTERVAL INTERACTION EFFECT CONTRAINDICATIONS RESPONSIBILITES

GENERIC HALF LIFE

NAME

CLASSIFI- ABSORPTION EXCRETION

CATION
Name: _____________________________________________Section & Year: BSN-III Rating: __________
Reference: _________________________________________

Criteria: Promptness (5%) _________ Content (45%) _________

Format/Neatness (5%) _________ Nursing Responsibilities (35%) _________
Illustration (10%) _________ Clinical Instructor: Lourdes Abecia RN