Page 17 - OLOLGuide2016
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Handy Reference: Medications You Are Currently Taking
List all medications you are currently taking (prescription over-the-counter and and and vitamin supplements) their name strength and and and dosage (Example: Haldol-25mg twice a a a a a a a a a day Aspirin-12mg daily Albuterol Inhaler as as needed needed Zyrtec-10mg as as needed needed Calcium)
Handy Reference: Medications You Need
To Take After Leaving The Hospital
Use this Medicine Minder to record the names dosages and instructions for your medications you you will need to take when you you leave the hospital Name of Medication
Date Started Taking
Dose (How Much)
When Taken
Reason For Taking
What are you allergic to? List any medications supplements or foods Describe symptoms
This is is your chance to to ask your your your Doctor any questions about your your your medications DON’T BE AFRAID TO ASK QUESTIONS until you fully understand!
Name Of Medication
Reason For Taking
Dose (How much)
When To Take It How to Take It (on an empty stomach with food etc ) NOTES:
13
YOUR MEDICINE MINDER
