TARJETA DE MEDICAMENTOS TARJETA DE MEDICAMENTOS TARJETA DE MEDICAMENTOS
PACIENTE:______________________________
PACIENTE:______________________________ PACIENTE:______________________________
______________________________________
______________________________________ ______________________________________
FECHA_________ HABITACION__________
FECHA_________ HABITACION__________ FECHA_________ HABITACION__________
MEDICAMENTO: _______________________
MEDICAMENTO: _______________________ MEDICAMENTO: _______________________
DOSIS:____________________________
DOSIS:____________________________ DOSIS:____________________________
VIA____________________________________
VIA____________________________________ VIA____________________________________
____
____ ____
7AM 8AM 9AM 10AM 11AM 12M
7AM 8AM 9AM 10AM 11AM 12M 7AM 8AM 9AM 10AM 11AM 12M
1PM 2PM 3PM 4PM 5PM 6PM
1PM 2PM 3PM 4PM 5PM 6PM 1PM 2PM 3PM 4PM 5PM 6PM
7PM 8PM 9PM 10PM 11PM 12AM
7PM 8PM 9PM 10PM 11PM 12AM 7PM 8PM 9PM 10PM 11PM 12AM
1AM 2AM 3AM 4AM 5AM 6AM
1AM 2AM 3AM 4AM 5AM 6AM 1AM 2AM 3AM 4AM 5AM 6AM
FIRMA
FIRMA FIRMA
TARJETA DE MEDICAMENTOS TARJETA DE MEDICAMENTOS TARJETA DE MEDICAMENTOS
PACIENTE:______________________________ PACIENTE:______________________________ PACIENTE:______________________________
______________________________________ ______________________________________ ______________________________________
FECHA_________ HABITACION__________ FECHA_________ HABITACION__________ FECHA_________ HABITACION__________
MEDICAMENTO: _______________________ MEDICAMENTO: _______________________ MEDICAMENTO: _______________________
DOSIS:____________________________ DOSIS:____________________________ DOSIS:____________________________
VIA____________________________________ VIA____________________________________ VIA____________________________________
____ ____ ____
7AM 8AM 9AM 10AM 11AM 12M 7AM 8AM 9AM 10AM 11AM 12M 7AM 8AM 9AM 10AM 11AM 12M
1PM 2PM 3PM 4PM 5PM 6PM 1PM 2PM 3PM 4PM 5PM 6PM 1PM 2PM 3PM 4PM 5PM 6PM
7PM 8PM 9PM 10PM 11PM 12AM 7PM 8PM 9PM 10PM 11PM 12AM 7PM 8PM 9PM 10PM 11PM 12AM
1AM 2AM 3AM 4AM 5AM 6AM 1AM 2AM 3AM 4AM 5AM 6AM 1AM 2AM 3AM 4AM 5AM 6AM
FIRMA FIRMA FIRMA