ACTIVE LEARNING TEMPLATE: Medication Handwritten [Cite your source here.] STUDENT NAME: _______________________________________________ MEDICATION GENERIC:___________________________________TRADE:______________________________________ PHARMACOLOGIC CLASS: _________________________________________________________ PURPOSE OF MEDICATION MECHANISM OF ACTION: [Cite your source here.] _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ THERAPEUTIC CLASS & USE: _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ CONTRAINDICATIONS & PRECAUTIONS: ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ADVERSE EFFECTS: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ INTERACTIONS: __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ NURSING ASSESSMENT: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ROUTE & DOSAGE: _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ ONSET/PEAK/DURATION: _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ PATIENT EDUCATION: _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________