Date Ordered Date Ordered Date Ordered Date Ordered Medication Trade Name: Generic Name: Dose: Route: Frequency: Safe Range: Age-Related Considerations Medication Trade Name: Generic Name: Dose: Route: Frequency: Safe Range: Age-Related Considerations Times Given 1) Class Nursing Implications Expected Outcomes Evaluation Nursing Implications Expected Outcomes Evaluation Nursing Implications Expected Outcomes Evaluation Nursing Implications Expected Outcomes Evaluation 2) Action 3) Side Effects 4) Why Administered Times Given 1) Class 2) Action 3) Side Effects 4) Why Administered Medication Trade Name: Generic Name: Dose: Route: Frequency: Safe Range: Age-Related Considerations Times Given Medication Trade Name: Generic Name: Dose: Route: Frequency: Safe Range: Age-Related Considerations Times Given 1) Class 2) Action 3) Side Effects 4) Why Administered 1) Class 2) Action 3) Side Effects 4) Why Administered