Cordova, Teresita G.

HRN: 11-82-18  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/08/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
09/08/2022
09/14/2022
IV
1.5gm
TID
Sepsis; Infected Wound
Waiting Final Action 
09/09/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/09/2022
09/16/2022
IVTT
500 Mg
Q8 H
Diabetic Foot Grade 2-3
Waiting Final Action 
09/09/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
09/09/2022
09/16/2022
IV
600 Mg
Q6 H
Diabetic Foot Grade 2-3
Waiting Final Action 
09/15/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/15/2022
09/22/2022
IV
4.5gm
Q8
Sepsis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: