Yuayan, Lynedee Mae C.

HRN: 04-89-01  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/15/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/15/2023
11/21/2023
IV
500mg
TID
AGE With Mod Dehydration
Checking Final Appropriateness 
11/15/2023
CIPROFLOXACIN 500MG (TAB)
11/15/2023
11/19/2023
ORAL
500mg
BID
UTI, Acute Gastroenteritis
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: