Alambatang, Ralph H.

HRN: 06-40-67  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/02/2024
AZITHROMYCIN 500MG TABLET (TAB)
03/02/2024
03/05/2024
ORAL
500mg
Once A Day
Acute Tonsillopharyngitis
Waiting Final Action 
03/02/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/02/2024
03/08/2024
IV
1500mg
Every 8 Hours
To Consider Lower Respiratory Tract Infection
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: