Lucaylucay, Synthiah L.

HRN: 23-13-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/21/2025
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
09/21/2025
09/26/2025
PO
4ml
OD
PCAP-C
Waiting Final Action 
09/22/2025
ACICLOVIR 400MG (TAB)
09/22/2025
09/27/2025
PO
400mg 1/2tab
TID
T/C HFMD
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: