Cariman, Eugenia B.

HRN: 21-23-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/11/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/11/2022
04/18/2022
IV
1.5gm
Q6
Pneumonia
Waiting Final Action 
04/11/2022
AZITHROMYCIN 500MG TABLET (TAB)
04/11/2022
04/18/2022
PO
500mg
OD
Pneumonia
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: