Pugoy, Manilyn .

HRN: 25-07-89  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/24/2024
CEFUROXIME 1.5GM (VIAL)
05/24/2024
05/24/2024
IV
1.5gm
LD
Ectopic Pregnancy
Waiting Final Action 
05/24/2024
CEFUROXIME 1.5GM (VIAL)
05/24/2024
05/26/2024
IV
1.5gm
Q8 6 Doses
SP Pelvic Lap
Waiting Final Action 
05/24/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/24/2024
05/26/2024
IV
Q8 6 Doses
Q8
Sp Pelvic Lap
Waiting Final Action 
05/25/2024
CEFUROXIME 500MG (TAB)
05/25/2024
06/01/2024
PO
14
BID
S/P EL Adhesiolysis Right Salpingooophotectomy
Waiting Final Action 
05/25/2024
METRONIDAZOLE 500MG (TAB)
05/25/2024
06/01/2024
PO
500mg
TID
S/P EL, Adhesiolysis, Right Salpingoophorectomy
Waiting Final Action 
05/25/2024
DOXYCYCLINE 100MG (CAP)
05/25/2024
06/01/2024
PO
100mg
BID
S/P EL, Adhesiolysis, Right Salpingooophoredtomy
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: