Catubig, Aida L.

HRN: 23 04 84  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/18/2023
CEFTRIAXONE 1G (VIAL)
05/18/2023
05/24/2023
IV
2gm
OD
CAP; UTI
Checking Final Appropriateness 
05/18/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/18/2023
05/22/2023
PO
500mg
OD
CAP
Checking Final Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: