Arog, Elpedio O.

HRN: 26-48-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/07/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/07/2025
01/14/2025
IV
4.5 Grams
Every 6 Hours
Urosepsis
Waiting Final Action 
01/08/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/08/2025
01/16/2025
IV
2.25g
Q6
T/C Urosepsis (renal Dose Adjustment)
Waiting Final Action 
01/12/2025
AZITHROMYCIN 500MG TABLET (TAB)
01/12/2025
01/18/2025
ORAL
500mg
OD
CAP MR Sepsis
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: