NURS 2516 Clinical Medications Worksheets
(You will need to make additional copies of these forms)
Generic Name Trade Name Classification Dose Route Time/frequency
Monofloxacin Vigamox Ophthalmic 1 drop to In t.i.d.
hydrochloride Medication affected eye pocket
in lower
eye lid
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Contact Lenses
Common side effects
Irritation, decreased visual acuity
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
Be sure to teach the patient the following about this
medication
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
med?