Asmina, Julmasida .

HRN: 23-11-46  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/25/2023
CEFUROXIME 750MG (VIAL)
05/25/2023
05/31/2023
IV
570mg
Q8
Pcap C
Checking Final Appropriateness 
05/26/2023
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
05/26/2023
06/09/2023
ORAL
11.3ml
TID
H Pylori
Checking Final Appropriateness 
05/26/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
05/26/2023
06/09/2023
ORAL
4ml
BID
H Pylori
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: