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DAFTAR OBAT KEWASPADAAN TINGGI (HIGH ALERT)

RS EVASARI
TAHUN 2017

Cara
Kelas Terapi Nama Generik Nama Dagang Pabrik Sediaan
Pakai
ANAESTHETIC
S-Local &
General
ampul 0,5 % x 4 Spinal
Bupivacaine HCl Decain Dexa Medica
ml anesthesi

Bupivakain Ampul 0,5 % x 4 Spinal


Dexa Medica
generik ml anesthesi

Ampul 20 mg/ 4 Spinal


Indevus Pharos
ml anesthesi

Slow IV
Sanbe Ampul 10 mg/ ml bolus/
Propofol Proanes
Farma x 20 ml continous
infusion

general
Sevoflurane Aerrane Kalbe Liquid 250 ml
anesthesi

Astra Duofit Polyamp


Lignocaine HCl Xylocaine 2 %
Zeneca 2% x 2 ml

Pre-filled syringe
Lidocaine HCl Lidocain Phapros
2% x 2 ml

Lidocain HCl 20 mg,


Pehacain Phapros ampul 2 ml
adrenalin12,5 mg

Dr. Georg
Per ampul: 100 ml Ethyl Chloride Semprot
Friedrich Spray 100 ml
ethyl chloride Dr Henning kulit
Henning
Thrombolytics Vial 5.000
Heparin Na Inviclot Fahrenheit internasional IV/ SC
Agents
unit/ ml x 5 ml
Insulin Novo Flexpen 100
Insulin aspart Novorapid internasional SC/ IV
Parenteral Nordisk
unit/ml x 3 ml
insulin aspartat 30
% , protamin Novo Flexpen 100
Novomix 30 SC
crystalised insulin Nordisk internasional
aspartar 70 % unit/ml x 3 ml

human premixed Mixtard 30 Novo Vial 100


insulin 9 30 % Nordisk internasional
soluble insulin & 70 unit/ ml x 10 ml SC
% isophane ( nph)
insulin )

Insulin glargine Lantus Sanofi solostar 100


Aventis internasional SC
unit/ml x 3 ml

Anticonvulsants Phenytoin Na Dilantin Pfizer Ampul 100 mg/ 2 IV


ml

Phenytoin Ika ampul 100 mg/ 2 slow IV


Ikapharmindo Pharmindo ml

Magnesium Flabottle 20 % 25
Magnesium sulfat Otsuka
sulfat ml
Flabottle 40 % 25
ml

Phenobarbital Sibital Mersifarma Ampul 200 mg/ 2


TM ml IM/ IV

Luminal Phapros
ampul 50 mg/ ml IM
Narkotika/ Fentanyl Fentanyl Janssen- Ampul 50 mcg/
Opioid Cilag ml x 2 ml IM/ IV

Pethidin Hcl Pethidin Hcl Kimia Farma Ampul 50 mcg/


ml x 2 ml IM/ SC

Morfin HCl Morfina Ampul 10 mg/ ml


Kimia Farma x 1 ml SC

Morfin Sulfat MST Continus Mahakam Tablet 10 mg Oral


Beta Farma
Tablet 15 mg Oral
Tablet 30 mg Oral

Codein fosfat
Codein Tablet 20 mg
hemihidrat Kimia Farma Oral
Tablet 10 mg

Codein Anhydrate 30
mg,
Codipront Kimia Farma Kapsul Oral
Phenyltoloxamine 10
mg

Codein 11,11 mg,


phenyltoloxamine Codipront syr Kimia Farma botol 60 ml Oral
3,67 mg

Codein Anhydrate 30 Codipront cum Kimia Farma Kapsul Oral


mg, exp
Phenyltoloxamine 10
mg, guafenesin 100
mg

Codein 11,11 mg,


Phenyltoloxamine Codipront cum
Kimia Farma botol 60 ml Oral
3,67 mg,guaifenesin exp syr
55,55 mg
Ampul 10 IM/ slow
Novartis
Drugs Acting on Synthetic oxytocin Syntocinon
Indonesia
internasional IV/ infus
Uterus unit/ ml IV

Ampul 10 IM/ slow


Induxin Kalbe Farma internasional IV/ infus
unit/ ml IV

Ampul 10 IM/ slow


Oxyla inj Novell internasional unit IV/ infus
/ml IV

Elektrolit pekat Kalium klorida Kalium klorida Otsuka Kalium klorida


7,45 %

Natrium Natrium
Natrium bicarbonat Otsuka bicarbonat
bicarbonat
8,4 %

Magnesium Flabottle 20 % 25
Magnesium sulfat Otsuka
sulfat ml
Flabottle 40 % 25
ml

Natrium klorida Natrium klorida Otsuka Natrium klorida


3 %.

Dextrose Dextrose Otsuka Dextrose 40 %

Bekasi , 5 Mei 2015


Kepala Instalasi Farmasi

Budi Setyorini S.Si, Apt


DAFTAR OBAT LASA (LOOK ALIKE SOUND ALIKE)
RS BELLA BEKASI
TAHUN 2016

Nama dagang LASA dengan ............. Nama dagang LASA dengan .............
Actonel Actos Letonal 25 mg tablet Letonal 50 mg tablet
Actos Actonel Letonal 50 mg tablet Letonal 25 mg tablet
Actos 30 mg tablet Adalat Oros 30 mg tablet Metformin tablet Metronidazole tablet
Adalat Oros 30 mg tablet Actos 30 mg tablet Metronidazole tablet Metformin tablet
Adalat 5 mg tablet Adalat 10 mg tablet Methergin Syntocinon
Adalat 10 mg tablet Adalat 5 mg tablet Syntocinon Methergin
Adalat 5 mg tablet Adalat Oros 30 mg tablet Metformin 500 mg tablet Metformin 850 mg tablet
Adalat Oros 30 mg tablet Adalat 5 mg tablet Metformin 850 mg tablet Metformin 500 mg tablet
Adalat 10 mg tablet Adalat 5 mg tablet Neurotam injeksi Piracetam injeksi
Adalat 5 mg tablet Adalat 10 mg tablet Piracetam injeksi Neurotam injeksi
Adalat 10 mg tablet Adalat Oros 30 mg tablet Nexium 20 mg Tablet Nexium 40 mg Tablet
Adalat Oros 30 mg tablet Adalat 10 mg tablet Nexium 40 mg Tablet Nexium 20 mg Tablet
Aminofusin Hepar Infus Aminofusin Paed Norvask 5 mg tablet Narfoz Syrup
Aminofusin Paed Aminofusin Hepar Infus Narfoz Syrup Norvask 5 mg tablet
Biozim injeksi Biocef injeksi Propanolol 10 mg tablet Propanolol 40 mg tablet
Biocef injeksi Biozim injeksi Propanolol 40 mg tablet Propanolol 10 mg tablet
Biozim injeksi Bioxon injeksi Revolan 1 gr injeksi Revolan 3 gr injeksi
Bioxon injeksi Biozim injeksi Revolan 3 gr injeksi Revolan 1 gr injeksi
Ceftazidime injeksi Cefoperazone injeksi Rimactan 450 mg kapsul Rimactazid Tablet 450/300
Cefoperazone injeksi Ceftazidime injeksi Rimactazid Tablet 450/300 Rimactan 450 mg kapsul
Candersatan 16 mg tablet Canderin 16 mg tablet Rimactazid Paed 75/50 tablet Rimcure Paed 75/50/150
Canderin 16 mg tablet Candersatan 16 mg tablet Rimcure Paed 75/50/150 Rimactazid Paed 75/50 tablet
Depakote Depakote ER Seretide 125 mcg Inhaler Seretide 50 mcg Inhaler
Depakote ER Depakote Seretide 50 mcg Inhaler Seretide 125 mcg Inhaler
Diamicron MR Diaformin XR Simvastatin 10 mg tablet Simvastatin 20 mg tablet
Diaformin XR Diamicron MR Simvastatin 20 mg tablet Simvastatin 10 mg tablet
Dextrose 40 % 25 ml MgSO4 40 % 25 ml Symbicort 160/ 4,5 60 Symbicort 80/ 4,5 60
MgSO4 40 % 25 ml Dextrose 40 % 25 ml Symbicort 80/4,5 60 Symbicort 160/4,5 60
Dobutamin HCl Dopamin giulini Trolip 100 mg kapsul Trolip 300 mg kapsul
Dopamin giulini Dobutamin HCl Trolip 300 mg Kapsul Trolip 100 mg Kapsul
Debostin tablet Digoxin tablet Tensivask 5 mg tablet Tensivask 10 mg tablet
Digoxin tablet Debostin tablet Tensivask 10 mg tablet Tensivask 5 mg tablet
Ephedrine Injeksi Ephinephrine Injeksi
Ephinephrine Injeksi Ephedrine Injeksi Codein 10 mg tablet Codein 20 mg tablet
Fargoxin tablet Digoxin tablet Codein 20 mg tablet Codein 10 mg tablet
Digoxin tablet Fargoxin tablet Codipront kapsul Codipront exp kapsul
Glucophage XR 500 mg tablet Glucophage 500 mg tablet Codipront exp kapsul Codipront kapsul
Glucophage 500 mg tablet Glucophage XR 500 mg tablet Codipront sirup Codipront exp sirup
Irbesartan Losartan 50 mg Codipront exp sirup Codipront sirup
Losartan 50 mg Irbesartan Fentanyl Injeksi Pethidin Injeksi
Isprinol tablet Isoprinosine tablet Pethidin Injeksi Fentanyl Injeksi
Isoprinosine tablet Isprinol tablet
Bekasi, 01 Desember 2016

Budi Setyorini, S.Si., Apt


Kepala Instalasi Farmasi
DAFTAR OBAT KEWASPADAAN TINGGI (HIGH ALERT)
RS BELLA BEKASI
TAHUN 2015

Kelas Terapi Nama Generik Nama Dagang Pabrik Sediaan Cara Pakai
ANAESTHETICS-
Local & General
ampul 0,5 % x 4 Spinal
Bupivacaine HCl Decain Dexa Medica
ml anesthesi

Bupivakain Ampul 0,5 % x 4 Spinal


Dexa Medica
generik ml anesthesi

Ampul 20 mg/ 4 Spinal


Indevus Pharos
ml anesthesi

Slow IV bolus/
Ampul 10 mg/ ml
Propofol Proanes Sanbe Farma continous
x 20 ml
infusion
general
Sevoflurane Aerrane Kalbe Liquid 250 ml
anesthesi

Duofit Polyamp
Lignocaine HCl Xylocaine 2 % Astra Zeneca
2% x 2 ml

Pre-filled syringe
Lidocaine HCl Lidocain Phapros
2% x 2 ml

Lidocain HCl 20 mg,


Pehacain Phapros ampul 2 ml
adrenalin12,5 mg

Dr. Georg
Per ampul: 100 ml Ethyl Chloride
Friedrich Spray 100 ml Semprot kulit
ethyl chloride Dr Henning
Henning
Thrombolytics Vial 5.000
Heparin Na Inviclot Fahrenheit internasional IV/ SC
Agents
unit/ ml x 5 ml

Flexpen 100
Insulin Parenteral Insulin aspart Novorapid Novo Nordisk internasional SC/ IV
unit/ml x 3 ml

insulin aspartat 30 % ,
protamin crystalised Novonix 30 Novo Nordisk Flexpen 100 SC
insulin aspartar 70 % internasional
unit/ml x 3 ml

human premixed Mixtard 30 Novo Nordisk Vial 100


insulin 9 30 % soluble internasional
insulin & 70 % unit/ ml x 10 ml SC
isophane ( nph)
insulin )

Insulin glargine Lantus Sanofi solostar 100


Aventis internasional SC
unit/ml x 3 ml
Anticonvulsants Phenytoin Na Dilantin Pfizer Ampul 100 mg/ 2 IV
ml

Phenytoin Ika ampul 100 mg/ 2 slow IV


Ikapharmindo Pharmindo ml

Magnesium Flabottle 20 %
Magnesium sulfat Otsuka
sulfat 25 ml
Flabottle 40 %
25 ml

Phenobarbital Sibital Mersifarma Ampul 200 mg/ 2


TM ml IM/ IV

Luminal Phapros
ampul 50 mg/ ml IM
Janssen- Ampul 50 mcg/
Narkotika/ Opioid Fentanyl Fentanyl Cilag ml x 2 ml IM/ IV

Pethidin Hcl Pethidin Hcl Kimia Farma Ampul 50 mcg/


ml x 2 ml IM/ SC

Morfin HCl Morfina Ampul 10 mg/


Kimia Farma ml x 1 ml SC

Morfin Sulfat MST Continus Mahakam Tablet 10 mg Oral


Beta Farma
Tablet 15 mg Oral
Tablet 30 mg Oral

Codein fosfat
Codein Tablet 20 mg
hemihidrat Kimia Farma Oral
Tablet 10 mg

Codein Anhydrate 30
mg, Phenyltoloxamine Codipront Kimia Farma Kapsul Oral
10 mg
Codein 11,11 mg,
phenyltoloxamine 3,67 Codipron syr Kimia Farma botol 60 ml Oral
mg

Codein Anhydrate 30 Codipront cum Kimia Farma Kapsul Oral


mg, Phenyltoloxamine exp
10 mg, guafenesin 100
mg

Codein 11,11 mg,


Phenyltoloxamine 3,67 Codipront cum
Kimia Farma botol 60 ml Oral
mg,guaifenesin 55,55 exp syr
mg

Ampul 10
Novartis IM/ slow IV/
Drugs Acting on Synthetic oxytocin Syntocinon internasional
Indonesia infus IV
Uterus unit/ ml

Ampul 10
IM/ slow IV/
Induxin Kalbe Farma internasional
infus IV
unit/ ml

Ampul 10 IM/ slow IV/


Oxyla inj Novell internasional unit infus IV
/ml
Kalium klorida Kalium klorida Otsuka Kalium klorida
Elektrolit pekat 7,45 %

Natrium Natrium
Natrium bicarbonat Otsuka bicarbonat
bicarbonat
8,4 %

Magnesium Flabottle 20 %
Magnesium sulfat Otsuka
sulfat 25 ml
Flabottle 40 %
25 ml

Natrium klorida Natrium klorida Otsuka Natrium klorida


3 %.

Bekasi , 5 Mei 2015


Kepala Instalasi Farmasi

Budi Setyorini S.Si, Apt


DAFTAR OBAT HIGH ALERT
RUMAH SAKIT EVASARI
TAHUN 2017
INSTALASI FARMASI RS EVASARI
TAHUN 2017
BENTUK NAMA DAGANG YANG
NO KELAS TERAPI NAMA GENERIK KEKUATAN KET.
SEDIAAN TERSEDIA DI RS
1 AGONIS ADRENERGIK IV EPINEPHRINE INJEKSI EPINEPHRINE 1 MG / ML ( 1 ML )
NOREPINEPHRINE INJEKSI VASCON 1 MG / ML ( 4 ML )
2 ANTAGONIS ADRENERGIK IV. PROPANOLOL
METOPROPANOLOL INJEKSI
3 AGEN ANASTESI (UMUM, INHALASI, PROPOFOL INJEKSI RECOFOL, FRESOFOL 10 MG / ML (20 ML)
DAN IV.)
KETAMIN INJEKSI KETALAR 50 MG / ML ( 10 ML )
SEVUFLORANE INJEKSI SEVODEX
ISOFLURANE
DESFLURANE
BUNASCAN SPINAL 0,5 % 5 MG / ML ( 4 ML )
BUPIVACAINE HCL INJEKSI MARCAIN 0.5% 20 ML
DECAIN SPINAL HEAVY 0,5 % ( 4 ML )
4 ANTI ARITMIA IV. INJEKSI PEHACAIN 2 ML
LIDOCAINE
PUMP SPRAY XYLOCAINE 10% 10 MG / 50 ML
AMIODARONE HCL INJEKSI CORDARONE 150 MG/3 ML (3 ML)
5 ANTI TROMBOTIK WARFARIN TABLET SIMARC 2 MG
ANTIKOAGULAN UNFRACTIONED HEPARIN IV INJEKSI INVICLOT 5000 IU ( 5 ML )
ENOXAPARIN NA INJEKSI LOVENOX 2000 IU, 4000 IU, 6000 IU
INHIBITOR FAKTOR XA FONDAPARINUX NA INJEKSI ARIXTRA
PARNAPARIN INJEKSI FLUXUM 4250 IU, 6400 IU
STREPSTOKINASE INJEKSI STREPTASE 1,500,000 IU
6 OBAT INOTROPIK IV DOPAMINE HCL INJEKSI DOPAMIN GIULINI 20 MG / ML (10 ML)
DOBUTAMINE INJEKSI DOBUTAMINE HCL 50 MG / ML ( 5 ML )
7 DEXTROSE HIPERTONIK ( 20 % ) DEXTROSE 40 % INJEKSI D40% 40% 25 ML
8 LARUTAN DIALISIS ( Peritoneal dan HD ) - - - -
9 OBAT EPIDURAL & INTRATEKAL BUPIVACAINE HCL INJEKSI BUNASCAN SPINAL 0,5 % 5 MG / ML ( 4 ML )
INJEKSI BUVANEST SPINAL 0,5 % 5 MG / ML ( 4 ML )
10 OBAT HIPOGLIKEMIK ORAL GOLONGAN SULFONILUREA
GLIBENCLAMID TABLET GLIBENCLAMIDE 5 MG
GLIQUIDON TABLET GLIQUIDONE 30 MG
GLIMEPIRIDE TABLET GLIMEPIRIDE 1 , 2 , 3 MG
GLICAZIDE TABLET GLUCODEX 80 MG
GOLONGAN BIGUANIDE
METFORMIN TABLET METFORMIN, GLUCOPHAGE 500 MG , 850 MG
TABLET GLUCOPHAGE XR 500 MG , 750 MG
GLUCOVANCE TABLET GLUCOVANCE 500/2,5 MG, 500/5 MG
PENGHAMBAT -GLIKOSIDASE
- ACARBOSE TABLET ACARBOSE 50 MG
- GLUCOBAY TABLET GLUCOBAY 100 MG
GOLONGAN TIAZOLINDINDION
- PIOGLITAZONE - -
12 INSULIN SC dan IV INSULINE GLARGINE INJEKSI LANTUS SOLOSTAR 100 U / ML ( 3 ML )
INJEKSI NOVOMIX 30 FLEXPEN 100 U / ML ( 3 ML )
INSULIN ASPART
INJEKSI NOVORAPID FLEXPEN 100 U / ML ( 3 ML )
INSULIN DETEMIR INJEKSI LEVEMIR FLEXPEN 100 U / ML ( 3 ML )
INJEKSI HUMALOG KWIKPEN 100 U / ML ( 3 ML )
INSULIN LISPRO
INJEKSI HUMALOG MIX KWIKPEN 100 U / ML ( 3 ML )
13 AGEN SEDASI MODERAT / SEDANG IV MIDAZOLAM INJEKSI SEDACUM 0,1 % 1 MG / ML ( 5 ML )
14 AGEN SEDASI MODERAT / SEDANG ORAL CHLORALHIDRATE - -
15 OPIOID / NARKOSE
a. INTRAVENA MORFINA INJEKSI MORFINA 10 MG / ML ( 1 ML )
FENTANYL INJEKSI FENTANYL 2 ML
PETHIDINE HCL INJEKSI CLOPHEDINE 50 MG / ML ( 2 ML )
b. TRANSDERMAL FENTANYL TRANSDERMAL DUROGESIC PATCH 12 MCG, 25 MCG
c. ORAL MORFINA TABLET MST CONTINUS 10 MG , 20 MG
CODEIN TABLET CODEIN 10 MG , 20 MG
CAPS & SYR CODIPRONT / ~ CUM EXP 60 ML
16 AGEN BLOK NEUROMUSKULAR ROKURONIUM INJEKSI ROCULAX, ROCUM
ATRAKURIUM BESILAT INJEKSI NOTRIXUM, TRAMUS 50 MG
VEKURONIUM BROMIDA INJEKSI ECRON
17 PREPARAT NUTRISI PARENTERAL INFUSION AMINOFUSIN PAED
INFUSION BENUTRION -VE 250 ML
INFUSION CLINIMIX N9G15E 1000 ML
INFUSION CLINOLEIC
INFUSION RENXAMIN 9 % ( 200 ML )
18 AGEN RADIOKONTRAS IV IOPAMIDOL INFUSION IOPAMIRO 300/100 ML, 370/50 ML
AQUA BIDESTILATA, INHALASI, DAN
19 AQUA BIDEST KOLF AQUA BIDEST 1000 1000 ML
IRIGASI (DALAM KEMASAN 100ML)

NACL UNTUK INJEKSI, HIPERTONIK,


20 NaCl 3 % ( 500 ml ) INFUSION OTSU SALIN 3% 3 % ( 500 ML )
DENGAN KONSENTRASI > 0,9%
21 KONSENTRAT KCL UNTUK INJEKSI KALIUM CHLORIDA INJEKSI KCL 7,46 % ( 25 meq / 25 ML )
22 INJ. MAGNESIUM SULFAT (MGSO4) MAGNESIUM SULFAT INJEKSI MgSO4 20% 20 % ( 25 ML )
INJEKSI MgSO4 40% 40 % ( 25 ML )
23 DIGOKSIN IV DIGOKSIN INJEKSI FARGOXIN
SYNTOSINON,
24 OKSITOKSIN IV INJEKSI OXYLA/OXYTOCIN,
INDUXIN
25 INJEKSI NATRIUM NITROPRUSID SODIUM BICARBONAT KOLF MEYLON 88 8.4% (25 ML)
26 INJEKSI KALIUM FOSFAT - - - -
27 ANTIKONVULSAN BENZODIAZEPIN INJEKSI STESOLID, VALISANBE