The University of Iowa

Animal Protocol Agent Administration Table

The Non-surgical section of the eIACUC Animal Protocol form includes instruction to complete a table for any agents to be administered to the animal. The table includes columns for each piece of required information: Animal Protocol title, PI name, species, agent name, dose, volume, route, any potential adverse events known from the agent, and whether or not the agent is pharmaceutical grade. Diluents and vehicle controls should be included. Analgesics, anesthetics, paralytics, and euthanasia agents should not be included.

A blank form can be found here:

File Agent Administration Table Template.xlsx

Example (Filled) Agent Administration Table can be viewed here: 

PDF icon Example Agent Administration Table.pdf