Dunggay, Mariz T.

HRN: 21-29-49  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/03/2022
AMPICILLIN 250MG (VIAL)
05/03/2022
05/09/2022
IVT
112mg
Q6
Age With Mild Dehydration
Waiting Final Action 
05/03/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
05/03/2022
05/09/2022
IVT
45mg
Q24
Age With Mid Dehydration
Waiting Final Action 
05/03/2022
AMPICILLIN 250MG (VIAL)
05/03/2022
05/09/2022
IV
120mg
Every 4h
AGE With Mild Dehydration
Waiting Final Action 
05/05/2022
CEFTAZIDIME 1GM (VIAL)
05/05/2022
05/12/2022
IV
150mg
Every 8h
Acute Gastroenteritis With Mild Dehydration
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: