Piedros, Dave Emmmanuel F.

HRN: 18-86-92  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/01/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/01/2022
05/07/2022
IV
125mg
Every 8hrs
Intestinal Amoebiasis
Waiting Final Action 
05/02/2022
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
05/02/2022
05/10/2022
PO
6ml
3x A Day
Age With Moderate Dehydration, Ameobiasis
Waiting Final Action 
05/02/2022
AMPICILLIN 500MG (VIAL)
05/02/2022
05/08/2022
IVT
320mg
Every 6hrs
Age With Mod Dhn , Ameobiasis
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: