DA Form 5569. Isoniazid (Inh) Clinic Flow Sheet

DA Form 5569, titled Isoniazid (INH) Clinic Flow Sheet, is used to document and monitor the administration of isoniazid (INH), an antibiotic used to treat tuberculosis and prevent its spread.

The form consists of sections where healthcare providers record the patient's information, INH dosage, administration schedule, and any side effects or reactions. It helps ensure the proper administration and monitoring of INH treatment.

Key fields in this form include patient information, dosage details, administration schedule, and any observed side effects. Accurate completion of this form aids in tracking patient progress and managing medication-related concerns.

Application Example: Tuberculosis clinics or healthcare providers use DA Form 5569 to document and monitor INH treatment. By accurately completing the form and recording medication details, clinics ensure effective treatment and patient safety.