NR324 – Adult Health I Drug Card Template
Drug Cards: Must Include classification, what it is used for, dosages, adverse reactions, contraindications,
and patient teaching. 1 Card to be completed for each drug on the patient’s orders. Include a reference
showing what you used to obtain the information. (Example: What drug book?)
Drug Name:
(Generic & Brand or Brands)
Usage:
(What is the drug used for when
treating this specific type of patient?)
Dosage:
Adverse Reactions:
Ampicillin
Treatment of the following infections: skin and skin
structure infections, soft-tissue infections, otitis media,
sinusitis, respiratory infections, genitourinary
infections, meningitis, septicemia, endocarditis
prophylaxis.
250-500 mg q6h – PO, IM, IV
Seizures (high doses); pseudomembranous colitis;
anaphylaxis; serum sickness; superinfection; diarrhea;
nausea; vomiting; rash; blood dyscrasias
Contraindications:
Hypersensitivity to penicillin
Patient Teaching:
Caution patient to notify healthcare provider if fever
and diarrhea occur, especially if stool contains blood,
pus, or mucus. Advise patient to report the signs of
superinfection and allergy. Instruct patient to take
medication around the clock and to finish the drug
completely as directed, even if feeling better.
Tucker, R. G. (2020). 2021 Lippincott pocket drug guide for nurses. Wolters Kluwer.