1. BABANTO, AIRON MAE O. BSN-4;GROUP 1
Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

2. BABANTO, AIRON MAE O. BSN-4;GROUP 1
Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

3. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

4. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

5. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

6. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

7. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

8. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

9. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

10. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

11. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

12. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

13. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)