Dela Cruz, Catalina .

HRN: 19-45-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/16/2024
CEFTRIAXONE 1G (VIAL)
11/16/2024
11/22/2024
IV
2g
OD
CAP-MR
Waiting Final Action 
11/16/2024
AZITHROMYCIN 500MG TABLET (TAB)
11/16/2024
11/20/2024
PO
500mg
OD
CAP-MR
Waiting Final Action 
11/17/2024
METRONIDAZOLE 500MG (TAB)
11/17/2024
11/23/2024
IV
500mg
Q8h
Amoebiasis
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: