LAC School of Nursing
N233 L - Intermediate Medical/Surgical & Psychiatric Nursing Clinical – FALL 2019
MEDICATION PREPARATION WORKSHEET*
Copying from the textbook or electronic source does not constitute satisfactory preparation
MEDICATION
Medication:
ACTION
NURSING CONSIDERATIONS
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Medication:
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Medication:
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
LAC School of Nursing
N233 L - Intermediate Medical/Surgical & Psychiatric Nursing Clinical – FALL 2019
MEDICATION
Medication:
ACTION
NURSING CONSIDERATIONS
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Medication:
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Medication:
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Medication:
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Resp
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
LAC School of Nursing
N233 L - Intermediate Medical/Surgical & Psychiatric Nursing Clinical – FALL 2019
MEDICATION
ACTION
Medication:
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
Medication:
Classification:
Generic Name:
Indication:
Dose/Route/Frequency:
How does it work?
Time:
Onset/Peak/Duration:
Recommended/Usual Dose:
Adverse Effects:
NURSING CONSIDERATIONS
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
Other:
Labs:
Teaching:
Infusion rate: ml/hr ________ gtt/min
LAC School of Nursing
N233 L - Intermediate Medical/Surgical & Psychiatric Nursing Clinical – FALL 2019