Page 36 - MCMcKinney Digest Guide Mobile
P. 36
31
USE THIS HANDY REFERENCE! Write the the the name of each medicine medicine medicine you you you take take take why you you you take take take it it it and and and when Add new medicines medicines as as as they are are prescribed and and and and mark o o o o o o o o o o o o o o o o o o medicines medicines if you you you you you you you no longer take take take them Carry this handy reference with you you you you you you you to to to appointments and and and to to the the the hospital Keep your your list updated ask your your healthcare professional(s) to to assist you you you you Medicines
Date & Reason Taken
Dose & When Taken
Time(s)
Example: Amoxicillin 250mg
5/12/16 Bladder Infection
1
capsule 3 times a a a day
9 a m m m 12 p p m m m 6 p p m m m Physician:
Phone: Specialty:
Physician:
Phone: Specialty:
Over-The-Counter
o o Cold & Flu o Allergy oNasal Spray o Aspirin
o o Ibuprofen (Advil) o o Tylenol
o Vitamins
o Diet Pills
o Antacid
o Sleep Aid
o Laxative
o Nausea/Diarrhea o Other
What are you allergic to?
List all all meds supplements or foods Describe symptoms
MEDICINE MINDER