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POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.
MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002
DRUG STUDY
Name of Patient: Attending
Physician:__________________________________
Age: Sex: Civil Status:
Diagnosis:__________________________________________
Occupation: Religion: Chief
Complaint:_____________________________________
Address: Date of Admission: _________________
Ward: Room No: Bed No: ________
DATE/
TIME
ORDERE
D
BRAND
NAME ACTION INDICATION
ROUTE/
DOSAGE/
TIME
INTERVAL
DRUG
INTERACTIO
N
ADVERSE
EFFECT
PRECAUTION/
CONTRAINDICATIONS
NURSING
RESPONSIBILITIES
Zofran
Blocks
serotonin, both
peripherally
vagal nerve
terminals and
centrally in
chemoreceptor
trigger zone.
Prevention/
treatment of
nausea/vomiting
due to cancer
chemotherapy
(including high-
dose CISplatin).
Prevention of
radiation-induced
nausea, vomiting.
Precautionary Use:
Contraindicated:
GENERIC
NAME
Ondansetron
HALF-LIFE
CLASSIFI-
CATION
Therapeutic:
Antinausea,
Antiemetic
Pharmacologic
:
Selective 5-
HT3 receptor
antagonist
ABSORPTION EXCRETION

Student Name: Year & Sec.: Group No.: Rating:__________________
References_______________________________________________________________________ Criteria: Promptness (15%), Format/Neatness (15%), Assessment (15%),
Nursing Diagnosis (15%), Objectives (15%), Objectives of Care (10%), Nursing Action (30%), Evaluation (10%)
Clinical Instructor:____________________________________
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