Pelangco, Bryan C.

HRN: 25-71-40  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/20/2024
COTRIMOXAZOLE 960MG (TAB)
10/20/2024
10/26/2024
PO
1 Tab
OD
Immunocompromised
Waiting Final Action 
10/20/2024
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
10/20/2024
10/26/2024
PO
1 Drop
Q 2 Hrs
Immunocompromised
Waiting Final Action 
10/20/2024
MUPIROCIN 2%, 15G (TUBE)
10/20/2024
10/26/2024
TOPICAL
Apply Bid
Bid
Immunocompromised
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: