Siglos, Carmen .

HRN: 26-35-36  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/09/2024
CEFTRIAXONE 1G (VIAL)
12/09/2024
12/16/2024
IV
2g
Od
Cap
Waiting Final Action 
12/09/2024
AZITHROMYCIN 500MG TABLET (TAB)
12/09/2024
12/13/2024
PO
500mg
Od
Capmr
Waiting Final Action 
12/10/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/10/2024
12/16/2024
IV
500mg
Q8
Amoebiasis
Waiting Final Action 
12/11/2024
METRONIDAZOLE 500MG (TAB)
12/11/2024
12/16/2024
PO
500mg
TID
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: