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Module 2 Humalog Mix25 Humulin S Hydrocortisone Metformin Premarin Progestin Synthroid Tamoxifen Testosterone Trulicity DRUG CARD WORKSHEET Student Name: _________________________________________________ Date: ______________________ Course MDCA#: _________________ Module: 1 2 3 4 Instructor: ____________________________ Generic Name: __________________________________________ Trade Name: _________________________________________ Classification: ___________________________________________ How Supplied: ________________________________________ Routes of Administration: _________________________________ Dosage: _____________________________________________ Action: ________________________________________________ Indications: ___________________________________________ Side Effects: _________________________________________________________________________________________________ Possible Interactions with other Drugs/Foods: _____________________________________________________________________ Special Instructions: __________________________________________________________________________________________ Generic Name: __________________________________________ Trade Name: _________________________________________ Classification: ___________________________________________ How Supplied: ________________________________________ Routes of Administration: _________________________________ Dosage: _____________________________________________ Action: ________________________________________________ Indications: ___________________________________________ Side Effects: _________________________________________________________________________________________________ Possible Interactions with other Drugs/Foods: _____________________________________________________________________ Special Instructions: __________________________________________________________________________________________ Generic Name: __________________________________________ Trade Name: _________________________________________ Classification: ___________________________________________ How Supplied: ________________________________________ Routes of Administration: _________________________________ Dosage: _____________________________________________ Action: ________________________________________________ Indications: ___________________________________________ Side Effects: _________________________________________________________________________________________________ Possible Interactions with other Drugs/Foods: _____________________________________________________________________ Special Instructions: _____________________________________________________________________________________
SCIENCE
HEALTH SCIENCE
NURSING
MED 1236

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