Dela Cerna, Mar D.

HRN: 29-41-92  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/06/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/06/2026
08/12/2026
IV
500mg
Q8
AGE
Remove - Pending Acceptance
08/06/2026
CEFUROXIME 1.5GM (VIAL)
08/06/2026
08/06/2026
IV
1.5gm
As Loading Dose
AGE
Remove - Pending Acceptance
08/06/2026
CEFUROXIME 750MG (VIAL)
08/06/2026
08/12/2026
IV
750mg
Q8
AGE
Remove - Pending Acceptance
08/07/2026
METRONIDAZOLE 500MG (TAB)
08/07/2026
08/13/2026
PO
500mgtab
TID
Intestinal Amoebiasis
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: