Sumalpong, Arselyn N.

HRN: 28-93-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/30/2026
CEFUROXIME 1.5GM (VIAL)
04/30/2026
05/07/2026
IV
1 Gm
Q8H
UTI
Remove - Pending Acceptance
04/30/2026
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
04/30/2026
05/07/2026
PO
3ml
Qid
Oral Candidiasis
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: