Montebon, Arturo T.

HRN: 22-77-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/30/2024
CEFTAZIDIME 1GM (VIAL)
10/30/2024
11/06/2024
IV
2g
Q8H
CAP
Waiting Final Action 
11/01/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/01/2024
11/07/2024
IVTT
2.25 G
Q6
Cap HR (renal Dose)
Waiting Final Action 
11/02/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
11/02/2024
11/09/2024
IV
600mg
Every 8 Hours
DM Foot Left
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: