Enrique, Eñego C.

HRN: 29-14-83  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2026
CEFTAZIDIME 1GM (VIAL)
07/03/2026
07/10/2026
IV
1g
Q8
Cap Mr Extensive Ptb
Remove - Pending Acceptance
07/03/2026
AZITHROMYCIN 500MG TABLET (TAB)
07/03/2026
07/07/2026
PO
500mg Tab
Od
Cap Mr
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: