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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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