Dalamon, Marcelina M.

HRN: 01-32-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/23/2022
AZITHROMYCIN 500MG TABLET (TAB)
05/23/2022
05/30/2022
PO
500mg
OD
CAP LR
Waiting Final Action 
05/25/2022
CEFUROXIME 750MG (VIAL)
05/25/2022
05/31/2022
IVT
750mg
Q12
UTI
05/25/2022
CEFUROXIME 1.5GM (VIAL)
05/25/2022
06/01/2022
IV
1.5g
Q8hrs
UTI

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: