Drugs and IV Fluids

DRUG NAME
(Generic /Brand)
DOSE, FREQUENCY, ROUTE CATEGORY,
EXPECTED ACTIONS Possible ADVERSE, side effects and related patient/family education Nursing considerations and
Interventions

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
2.

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
3.

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
4.

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
5.

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
6.

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
7.

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
8.

NAME:

DOSE:
FREQUENCY:
ROUTE:
Side effects:

Patient/family education:
9.

NAME:

DOSE:
FREQUENCY:
ROUTE:

Side effects:

Patient/family education:
10.

NAME:

DOSE:
FREQUENCY:
ROUTE:

Side effects:

Patient/family education:
11. NAME:

DOSE:
FREQUENCY:
ROUTE:

Side effects:

Patient/family education:
Intravenous DRIP DRUG or FLUID CATEGORY,
EXPECTED ACTIONS Possible ADVERSE, side effects and related patient/family education Nursing considerations and interventions

1.
NAME (mixture):

RATE and/or dosage:
Side effects:

Patient/family education:

2.
NAME (mixture):

RATE and/or dosage:
Side effects:

Patient/family education:

3.
NAME (mixture):

RATE and/or dosage:
Side effects:

Patient/family education:

4.
NAME (mixture):

RATE and/or dosage:
Side effects:

Patient/family education:

5.
NAME (mixture):

RATE and/or dosage:
Side effects:

Patient/family education: