Nama Obat Jumlah Waktu Dipantau KET I II III IV V

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KELENGKAPAN OBAT EMERGENCY

RUANG : OK

BULAN :

WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU

I II III IV V
Aminopilin inj 1

Atropin sulfat inj 1

Ca gluconaas inj 1

Furosemide inj 3

Asam tranexamat inj 3

Dexamethasone inj 3

Diazepam inj 3

Difenhidramine inj 3

Ephineprine inj 3

Ketamin inj 1

Norages/metamizole inj 3

Propofol inj 1

Lidocaine inj 3

Surflo 26 1

Surflo 24 1

Surflo 22 1

Surflo 20 1

Surflo 18 1

Oxygen mask 1
Stomatch tube 1

ETT 1

Intersurgical 1

Spuit 1 ml 3

Spuit 3 ml 3

Spuit 10 ml 2

KELENGKAPAN OBAT EMERGENCY


RUANG : PONEX

BULAN :

WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU

I II III IV V
Aminopilin inj 1

Ca gluconaas inj 1

Furosemide inj 3

Asam tranexamat inj 3

Dexamethasone inj 3

Vit K 1

Diazepam inj 3

Lidocaine inj 3

Oxytocin inj 3

MgSO4 1

Infus dextrose 10% 3

Alkohol swab 2

Hypapix
Spuit 1 ml 3

Spuit 5 ml 3

Oxygen mask 2

ETT 1

Oxygen mask bayi 1

Feeding tube 1

KELENGKAPAN OBAT EMERGENCY


RUANG : IGD

BULAN :

WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU

I II III IV V
Ephineprine inj 2

Ca gluconaas inj 1

Metilargometrine inj 3

Phenetoin sodium inj 1


Asam tranexamat inj 3

Dexamethasone inj 2

Vit K 1

Diazepam inj 3

Lidocaine inj 3

Ranitidine inj 2

MgSO4 1

Norages/metamizole inj 2

Infus dextrose 10% 1

Infus RL 1

Infus dextrose 5% 1

Infusion set makro 1

Infusion set mikro 1

Tranfusion set 1

Spuit 1 ml 3

Spuit 5 ml 2

spuit 10 ml 2

Spuit 3 ml 3

Surflo 26 2

Surflo 24 1

Surflo 22 2

Surflo 20 1

Surflo 18 1
KELENGKAPAN OBAT EMERGENCY
RUANG : AMBULANCE

BULAN :

WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU

I II III IV V
Ephineprine inj 2

Ca gluconaas inj 1

Metilargometrine inj 3

Asam tranexamat inj 3

Dexamethasone inj 2

Vit K 1

Diazepam inj 3

Lidocaine inj 3

Ranitidine inj 2

MgSO4 1

Norages/metamizole inj 2

Infus dextrose 10% 1

Infus RL 1

Infus dextrose 5% 1

Infusion set makro 1

Infusion set mikro 1

Tranfusion set 1

Spuit 1 ml 3

Spuit 5 ml 2
spuit 10 ml 2

Spuit 3 ml 3

Surflo 26 2

Surflo 24 1

Surflo 22 2

Surflo 20 1

Surflo 18 1

KELENGKAPAN OBAT EMERGENCY


RUANG : VK

BULAN :

WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU

I II III IV V
Aminopilin inj 1

Ca gluconaas inj 1

Furosemide inj 3

Asam tranexamat inj 3

Dexamethasone inj 3
Vit K 1

Diazepam inj 3

Lidocaine inj 3

Oxytocin inj 2

MgSO4 1

Glukosa 5 % 1

Ring as 3

NaCl 1

Infus dextrose 10% 1

Widhahes 1

Suction catheter uk 18 3

Suction cathether uk 16 6

Spuit 1 ml 3

Spuit 5 ml 3

Oxygen mask 2

ETT 1

Nasal oxygen cannula 1

Feeding tube 7

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