The document appears to be a blank template for documenting information about a drug including its generic and brand name, classification, mechanism of action, indications, contraindications, adverse effects, dosage, route, frequency, and nursing responsibilities and precautions. The template includes fields for all of this information but does not include any details about a specific drug.

1. BABANTO, AIRON MAE O. BSN-4;GROUP 1
Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

2. BABANTO, AIRON MAE O. BSN-4;GROUP 1
Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

3. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

4. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

5. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

6. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

7. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

8. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

9. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

10. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

11. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

12. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)

13. Drug Name: _____________________
DRUG ORDER
(Generic Name, NURSING
Brand Name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS RESPONSIBILITES/
Classification, ACTION OF THE DRUG PRECAUTIONS
Dosage, Route,
Frequency)