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MEDICINES AND SUPPLIES

Station:
Month: January
Shift Am Am A
m
A
m
A
m
A
m
A
m
A
m
A
m
A
m
A
m
A
m
A
m
A
m
A
m
A
m
/ / / / / / / / / / / / / / / /
p p p p p p p p p p p p p p p p
m m m m m m m m m m m m m m m m
No. Medicine/Supplies Exp’n Quantit 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Date y / / / / / / / / / / / / / / / /
2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3
4 4 5 5 6 6 7 7 8 8 9 9 0 0 1 1
1 Aminophylline
2 Apresoline
3 Atropine
4 Butorphanol (stadol)
5 Calcium Gluconate
6 Captopril (Capoten)
7 Citicholine (Somazine
8 Clonidine (Catapres)
9 Cordarone (Amniodarone)
10 Dexamethasone
11 D50 % 50cc
12 Diazepam
13 Diclofenac
14 Digoxin (Lanoxin)
15 Diphenhydramine
16 Dobutamine
17 Dopamine
18 Ephedrine
19 Epinephrine
20 Furosemide
21 Hydrocortisone
22 Hyoscine hbr (Buscopan)
23 Hyoscine hbb
24 ISDN (Isoket)
25 Isordil
26 Ketorolac
27 Lidocaine
28 Meperedine (Demerol)
29 Methergine
30 Metoclopramide
31 Midazolam (Dormicum)
32 Morphine S04
33 Nalbuphine (Nubain)
34 Naloxone
Nebulization:
35 Ventolin/Asmalin
36 Combivent
37 Budesonide
38 Nicardipine
39 Nifedipine
40 Noradrenaline (Levophed)
41 Oxytocin
42 Paracetamol (Aeknil)
43 Phenobarbital (Luminal)
44 Phenytoin (Dilantin)
45 Phytomenadione (Vit.K)
46 Piracetam (Nootropil)
47 Potassium Chloride
48 Inderal tablet
49 Promethazine (Phenergan)
50 Ranitidine
51 Sodium Bicarbonate
52 Solumedrol
53 Terbutaline (Bricanyl)
54 Tramadol (Tramal)
55 Tranexamic acid (Hemostan)
56 Transderm Nitro patch
57 Verapamil (Isoptin)
58 Asepto syringe
59 O2 cannula
60 Neb. Kit
61 E.T. Tube
62 Venturi Mask
63 Macroset
64 Microset
65 Soluset
66 Ngt tubings
67 Oral airway
68 O2 face mask
69 Syringes
70 Foley cath
71 Suction cath
72 KY jelly
73 Terazosin
74 L Carnitine
75 Atenolol

76 Catapres (Tab)
77 Hytrin
78 Syringes
79 Butterfly
80 D5LR 1L
81 D5LR 500cc
82 D5NM 1L
83 D5NM 500cc
84 D5IMB 1L
85 D5IMB 500 cc
86 PLAIN LR 1L
87 PLAIN LR 500cc
88 PNSS 500cc
89 D5.3 NaCl 1L

CHECKED BY:
DATE 24 25 26 27 28 29 30 31
Am shift
Pm shift

PREPARED BY:

Monette N. Babao R.N.