Roxas, Antonio, JR.. D.

HRN: 25-17-77  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/02/2024
METRONIDAZOLE 500MG (TAB)
06/02/2024
06/11/2024
PO
500 Mg/tab, 1 Tab
Bid
H. Pylori Infection;
Waiting Final Action 
06/02/2024
CLARITHROMYCIN 500MG (CAP)
06/02/2024
06/11/2024
PO
500 Mg/tab, 1 Tab
Bid
H. Pylori Infection;
Waiting Final Action 
06/03/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/03/2024
06/09/2024
IVT
500mg
Q8H
UGIB Prob Sec To BPUD Sec To Hpylori Infection
Waiting Final Action 
06/07/2024
METRONIDAZOLE 500MG (TAB)
06/07/2024
06/13/2024
PO
500 Mg/tab, 1 Tab
Q8
H. Pylori 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: