DAFTAR OBAT EMERGENCY

RUANGAN : IRNA TIMUR

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
13 Oxytocin inj Ampul
14 Metylergometrin inj Ampul
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1
 DAFTAR OBAT EMERGENCY

RUANGAN : IRNA BARAT

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
13 Oxytocin inj Ampul
14 Metylergometrin inj Ampul
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1
 DAFTAR OBAT EMERGENCY

RUANGAN : HEMODIALISA

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1
 DAFTAR OBAT EMERGENCY

RUANGAN : POLIKLINIK

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
13 Oxytocin inj Ampul
14 Metylergometrin inj Ampul
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1
 DAFTAR OBAT EMERGENCY

RUANGAN : IGD

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1
ALAT
1 Laryngoscope dws & ank unit 1
2 Ambubag dws & ank unit 1
3 Selang O2 nasal dws & ank Buah 1
4 NRM dws & ank Buah 1
5 Rebreathing mask dws & ank Buah 1
6 Suction kateter 6Fr, 8Fr,10Fr, 12Fr buah 1
7 ET 3-7 dengan cuff buah 1
8 Mayo 3-4 buah 1
9 Spuit 1/3/5/10/20/50 buah 3
10 IV cath 18G 24G buah 1
11 Threeway stop chock buah 1
12 Infuse set makro/mikro buah 1
13 Tranfusi set buah 1
14 Handscoen steril 6,5 7,5 buah 1
15 Alcohol swab Buah 5
16 Plester/gunting/torniquet buah 1
 DAFTAR OBAT EMERGENCY

RUANGAN : PERINATOLOGI

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1
 DAFTAR OBAT EMERGENCY

RUANGAN : KAMAR BERSALIN

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
13 Oxytocin inj Ampul
14 Metylergometrin inj Ampul
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1
ALAT
1 Laryngoscope dws & ank unit 1
2 Ambubag dws & ank unit 1
3 Selang O2 nasal dws & ank Buah 1
4 NRM dws & ank Buah 1
5 Rebreathing mask dws & ank Buah 1
6 Suction kateter 6Fr, 8Fr,10Fr, 12Fr buah 1
7 ET 3-7 dengan cuff buah 1
8 Mayo 3-4 buah 1
9 Spuit 1/3/5/10/20/50 buah 3
10 IV cath 18G 24G buah 1
11 Threeway stop chock buah 1
12 Infuse set makro/mikro buah 1
13 Tranfusi set buah 1
14 Handscoen steril 6,5 7,5 buah 1
15 Alcohol swab Buah 5
16 Plester/gunting/torniquet buah 1
 DAFTAR OBAT EMERGENCY

RUANGAN : IRNA

No Obat/cairan Satuan Jumlah Ed

OBAT
1 Epinephrine inj 0,1%, 1 ml Ampul 3
2 Atropin inj 0,25mg/ml,1 ml Ampul 3
3 Amiodarone hcl inj 50 mg/ml, 3 ml Ampul 1
4 Calcii gluconas inj 100 mg/ml, 10 Ampul 1
ml
5 Natrium Bicarbonat inj 8,4%, 25ml Ampul 1
6 Dopamininj 40mg/ml, 5 ml Ampul 1
7 Dobutamin inj 50mg/ml, 5 ml Ampul 1
8 Lidocain inj 2%, 2ml Ampul 3
9 Norepinefrin inj 1 mg/ml Ampul 1
10 Dexamethasone inj 5mg/ml Ampul 3
11 Diazepam inj 5mg/ml, 2 ml Ampul 1
12 Diazepam rectal tube 5 mg tube 1
13 Oxytocin inj Ampul
14 Metylergometrin inj Ampul
CAIRAN
1 Dextrose inj 40%, 25 ml fl 2
2 RL inf, 500 ml fl 1
3 D5% inf, 500 ml fl 1
4 Nacl inf 0,9%, 500 ml fl 1