Montealegre, Bea Marie .

HRN: 24-61-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/15/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/15/2024
11/22/2024
IV DRIP
310mg
Q6h
PCAP C
Waiting Final Action 
12/07/2025
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
12/07/2025
12/12/2025
ORAL
4mL
OD
Pneumonia
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: