Eglesia, Toribio .

HRN: 21-95-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/13/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/13/2022
10/19/2022
IVT
1.5g
Q8
Presumptive TB, CAP-MR
Waiting Final Action 
10/16/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/16/2022
10/20/2022
PO
500mg
Od
Pneumonia
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: