Zamora, Nilo M.

HRN: 22-29-40  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/09/2022
CEFTRIAXONE 1G (VIAL)
12/09/2022
12/15/2022
IV
2gm
Q24
CAP MR
Waiting Final Action 
12/12/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
12/12/2022
12/19/2022
IVT
4.5gms
Q8
Cap Mr, Ptb New Case
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: