Dionaldo, Ricardo .

HRN: 03-45-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/11/2026
CEFTRIAXONE 1G (VIAL)
08/11/2026
08/17/2026
IV
2GMS
OD
T/C ACUTE CHOLANGITIS
Checking Initial Appropriateness 
08/11/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/11/2026
08/17/2026
IV
500MG
Q8H
T/C ACUTE CHOLANGITIS
Checking Initial Appropriateness 
08/12/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/12/2026
08/12/2026
IV INFUSION
4.5g
Stat (loading) Dose
Acute Cholangitis (intra Abdominal)
Checking Initial Appropriateness 
08/12/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
08/12/2026
08/18/2026
IV INFUSION
2.25
Q6
Acute Cholangitis (intra Abdominal) Renal Dosing
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: