Niepez, Ayesha Sophie D.

HRN: 27-62-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/09/2025
CEFUROXIME 750MG (VIAL)
08/09/2025
08/16/2025
IVT
700mg
Q8
AGE With Severe Dehydration
Remove - Pending Acceptance
08/09/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/09/2025
08/16/2025
IVT
200mg
Q8
AGE With Severe Dehydration
Remove - Pending Acceptance
08/10/2025
CEFTRIAXONE 1G (VIAL)
08/10/2025
08/16/2025
IV
2 Grams
Once A Day
Systemic Bacterial Infection
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: