Mananquil, Kim Judel .

HRN: 19-50-47  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/31/2022
AMPICILLIN 1GM (VIAL)
10/31/2022
11/07/2022
IVTT
330mg
Q8h
PCAP C
Waiting Final Action 
11/02/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/02/2022
11/09/2022
IV
1/4 Vial (250mg Ampicillin)
Q6
PCAP-C
Waiting Final Action 
11/02/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
11/02/2022
11/09/2022
PO
2.5ml
OD
PCAP-C
Waiting Final Action 
11/03/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/03/2022
11/09/2022
IV DRIP
250 Mg
Q6
Worsening Cough
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: