Liwasag, Lorena .

HRN: 06-90-88  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/14/2026
CEFTRIAXONE 1G (VIAL)
03/14/2026
03/20/2026
IV
2gms
OD
UTI
Checking Initial Appropriateness 
03/15/2026
CLARITHROMYCIN 500MG (CAP)
03/15/2026
03/22/2026
ORAL
500mg
BID
H. Pylori Positive
Checking Initial Appropriateness 
03/15/2026
METRONIDAZOLE 500MG (TAB)
03/15/2026
03/22/2026
ORAL
500mg
TID
H. Pylori Positive
Checking Initial Appropriateness 
03/15/2026
AMOXICILLIN 500MG CAPSULE (CAP)
03/15/2026
03/22/2026
ORAL
1,000mg
BID
H. Pylori Positive
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: