Daily Clinical Drug Worksheet Fall One 2015 September 2015 Page 1

Drug Worksheet Student Name_______________________ Generic Proprietary Name: ________________________________________________ Pregnancy Risk Category: ___________ MECHANISM OF ACTION: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SPECIFIC USE FOR OBSTETRIC OR NEWBORNS: Desired effect for pregnant, laboring, newly delivered women, postpartum, or newborn: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Conditions in which the drug is CONTRAINDICATED: ____________________________________________________________________________________________________________________________________________ ______________________________________________________________________

Dosage Range Route Frequency of Administration

SIDE EFFECT &/OR ADVERSE REACTIONS OF THE MEDICATION: __________________________________________________________________________________________________________________________________________________________________________________________________________________ SPECIFIC OB/NEWBORN NURSING IMPLICATIONS &/OR PATIENT TEACHING: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________ REFERENCES (APA FORMAT): ____________________________________________________________________________________________________________________________________________