Janon, Sendoy .

HRN: 22-39-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/22/2025
CEFTRIAXONE 1G (VIAL)
07/22/2025
07/29/2025
IV
525mg
Q12H
Pcap
Checking Initial Appropriateness 
07/22/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
07/22/2025
07/29/2025
ORAL
4ml
TID
Amoebiasis
Checking Initial Appropriateness 

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: