DAFTAR OBAT dan ALAT KESEHATAN EMERGENCY / FLOOR STOCK

UNIT/ INSTALASI / RUANGAN

NAMA OBAT / ALKES

NO. DOSIS JUMLAH
ZAT AKTIF OBAT MEREK OBAT
1 Aminophyline 24mg/20ml ....5...ampul
200mg ....10..tablet
2 Amiodaron Tiaryt
150mg/3ml ....6...ampul
3 Asam Tranexamat Plasminex 500mg/5ml ....5...ampul
Bisoprolol Beta One 2,5mg ....10..tablet
4
Ca-Gluconas 100mg/ml ....5...ampul
5 Dexamethasone Cortidex 5mg/ml ....5...ampul
Digoxin Fargoxin 0,5mg/2ml ....5...ampul
6
Diphenhydramin 10mg/ml ....5...ampul
7 Dobutamin 250mg/5ml ....5...ampul
Dopamin Dopac 40mg/ml ....5...ampul
8
Epinefrine 10..ampul
Lasix 20mg/2ml 5....ampul
9 Furosemide
Furosemid 40mg 10....tablet
10 Heparin Inviclot 5000iu/5ml 1....flacon
10mg/10ml 6....flacon
11 ISDN Farsorbid
5mg 10....tablet
12 Kalium Klorida (KCl) 25ml ....5...flacon
13 Lidokain 100mg/2ml ....5...ampul
14 Magnesium Sulfat ....2...flacon
15 Meylon 5....flacon
16 Nitrogliserin NTG 10mg/10ml ....5...ampul
17 Norepinefrin Vascon 4mg/4ml ....5...ampul
18 Metamizole-Na Novalgin 1gram/2ml 5....ampul
19 Sulfas Atropin 0,25mg/ml ....5...ampul
20 Vitamin K 10mg/ml ....5...ampul
21 Ketorolac 10mg/ml ....5...ampul
22 Ondancetron 4mg/2ml ....5...ampul
 Streptase Inj. 1,5 JT UI ....1...ampul
23
24 Farbivent inj 2,5ml ....5...ampul
25 Novorapid Flexpen 300U/300ml .2Flexpen
26 Aspilet 80mg 10 ..tablet
27 Ephedrin 50mg/ml ....5...ampul
28 Tetagam P 1ml (250 IU) ....1...ampul
29 Ceftriaxon 1000mg 4Vial
30 Cefotaxim 1000mg 4Vial

CAIRAN
31 Dextrose 10% 3 Botol
32 Asering 3 Botol
33 D 5 1/2 NS 3 Botol
34 D 5 1/4 NS 3 Botol
35 Dextrose 40% 3 flacon
36 Dextrose 5% 3 Botol
37 KAEN 1B 3 Botol
38 KAEN 3B 3 Botol
39 Manitol 1 Botol
40 Nacl 0,9% 3 Botol
41 Ringer Asetat 3 Botol
42 Ringer Lactat 3 Botol
43 WIDAHES 130 1 Botol

ALAT KESEHATAN Satuan PCS

44 Bag Valve (Ambubag) 1
45 Blood Set 10
46 Disp spuit 10cc 100
47 Disp spuit 1cc 100
48 Disp spuit 20cc 100
49 Disp spuit 3cc 100
50 Disp spuit 5cc 100
51 ETT ukuran 6 2
52 ETT ukuran 6,5 2
53 ETT ukuran 7 2
54 ETT ukuran 7,5 2
55 Folley catheter 12 3
56 Folley catheter 14 3
57 Folley catheter 16 3
58 Folley catheter 18 3
59 Infuset Dewasa 10
60 Infuset Anak 10
61 IV Catheter 18 10
62 IV Catheter 20 10
63 IV Catheter 22 10
64 IV Catheter 24 10
65 Penflow 20 4
66 Penflow 22 4
67 Penflow 24 4
68 Penflow 26 4
69 Masker Disposible 100
70 Masker Non Breathing 5
71 Masker Oksigen 5
72 NGT 10 3
73 NGT 12 3
74 NGT 14 3
75 NGT 8 3
76 Gamex 6,5/7/7,5/8 10
77 Sarung Tangan 100
78 Suction Catheter 10 2
79 Suction Catheter 12 2
80 Suction Catheter 14 2
81 Three way 10
82 Three way berekor 10
83 Urinebag non streril 5
84 Wing needle 21 6
85 Wing needle 23 6
86 Needle 18 100
87 needle 23 100
88 Hansaplast 100
89 Daryantull 3
90 Extension Tube 150 cm 5
91 KY jelly 1
92 Selang Oksigen Dewasa 5
93 Selang Oksigen Anak 5
94 Verban 10 cm 10
 DAFTAR OBAT dan ALAT KESEHATAN EMERGENCY / FLOOR STOCK
RUANGAN PERAWAT LANTAI I

NAMA OBAT / ALKES

NO. DOSIS JUMLAH
ZAT AKTIF OBAT MEREK OBAT
1 Dexamethasone Cortidex 5mg/ml 5 ampul
2 Diphenhydramin 10mg/ml 5 ampul
3 Furosemide Lasix/Uresix/Furosemid 20mg/2ml 5 ampul
4 Lidokain 100mg/2ml 5 ampul
5

CAIRAN
1 Nacl 0,9% 500 ml 5 Botol
2 Ringer Lactat 500 ml 5 Botol
3 AQUA PRO/OTSU WI 25ml 5 Botol
4

ALAT KESEHATAN Satuan PCS

1 Blood Set 5
2 Disp spuit 1cc 10
3 Disp spuit 3cc 10
4 Disp spuit 5cc 10
5 Disp spuit 10cc 10
6 Infuset Dewasa 5
7 IV Catheter 20 10
8 IV Catheter 22 10
9 IV Catheter 24 10
10
11

DAFTAR OBAT dan ALAT KESEHATAN EMERGENCY

BOX EMERGENCY KIT

1 Dexamethasone Cortidex 5mg/ml 5 ampul

2 Dopamin Dopac 40mg/ml 3 ampul
3 Ephedrin 50mg/ml 5 ampul
4 Epinefrine 1mg/ml 10 ampul
5 Farbivent 3 ampul
6 Farsorbid inj. 10mg/10ml 2 Vial
7 Furosemid Lasix/Uresix/Furosemid 20mg/2ml 3 ampul
8 Norephinefrin Vascon 4mg/4ml 3 ampul
9 NTG inj. 3 ampul
10 Sulfas Atropin 0,25mg/ml 10 ampul
11 Vit. K inj 10mg/ml 5 ampul
ALKES
12 3 W Panjang 2 pcs
13 3 W Stopcock 2 pcs
14 Ambubag Anak 1 pcs
15 Ambubag Dewasa 1 pcs
16 ETT No. 6 1 pcs
17 ETT No. 7 1 pcs
18 ETT No. 7,5 1 pcs
19 Extension Tube 150 2 pcs
20 Infuset dewasa 2 pcs
21 Masker Balon Anak 1 pcs
22 Masker Balon Dewasa 1 pcs
23 NTG No. 14 2 pcs
24 NTG No. 16 2 pcs
25 Selang O2 Anak 1 pcs
26 Selang O2 Dewasa 1 pcs
27 Spuit 1 CC 3 pcs
28 Spuit 10 CC 3 pcs
29 Spuit 20 CC 2 pcs
30 Spuit 3 CC 3 pcs
31 Spuit 5 CC 3 pcs
32 Spuit 50 CC 2 pcs
33 Suction Catheter 10 1 pcs
34 Suction Catheter 12 1 pcs
35 Suction Catheter 14 1 pcs
36 Suction Catheter 16 1 pcs
37
 DAFTAR OBAT dan ALAT KESEHATAN EMERGENCY / FLOOR STOCK
RUANGAN PERAWAT LANTAI II

NAMA OBAT / ALKES

NO. DOSIS JUMLAH
ZAT AKTIF OBAT MEREK OBAT
1 Dexamethasone Cortidex 5mg/ml 5 ampul
2 Diphenhydramin 10mg/ml 5 ampul
3 Furosemide Lasix/Uresix/Furosemid 20mg/2ml 5 ampul
4 Lidokain 100mg/2ml 5 ampul
5
CAIRAN
1 Nacl 0,9% 500 ml 5 Botol
2 Ringer Lactat 500 ml 5 Botol
3 AQUA PRO/OTSU WI 25ml 5 Botol

ALAT KESEHATAN Satuan PCS

1 Blood Set 5
2 Disp spuit 1cc 10
3 Disp spuit 3cc 10
4 Disp spuit 5cc 10
5 Disp spuit 10cc 10
6 Infuset Dewasa 5
7 IV Catheter 20 10
8 IV Catheter 22 10
9 IV Catheter 24 10
10 Selang O2 Anak 3
11 Selang O2 Dewasa 3
12 Masker O2 Anak 3
13 Masker O2 Dewasa 3
14
15
 DAFTAR OBAT dan ALAT KESEHATAN EMERGENCY / FLOOR STOCK
R. PERAWAT LANTAI 1

NAMA OBAT / ALKES

NO. DOSIS JUMLAH
ZAT AKTIF OBAT MEREK OBAT
1 Aminophyline 24mg/20ml 5 Ampul
200mg ....10..tablet
2 Amiodaron Tiaryt
150mg/3ml ....10...ampul
3 Asam Tranexamat Plasminex 500mg/5ml 5 Ampul
Bisoprolol Beta One 2,5mg ....10..tablet
4
Ca-Gluconas 100mg/ml ....3...ampul
5 Dexamethasone Cortidex 5mg/ml 5 Ampul
6 Digoxin Fargoxin 0,5mg/2ml 5 Ampul
7 Diphenhydramin 10mg/ml 5 Ampul
8 Dobutamin 250mg/5ml 5 Ampul
9 Dopamin Dopac 40mg/ml 5 Ampul
10 Epinefrine 10..ampul
Lasix 20mg/2ml 5 Ampul
11 Furosemide
Furosemid 40mg 10....tablet
12 Heparin Inviclot 5000iu/5ml 1....flacon
10mg/10ml 6....flacon
13 ISDN Farsorbid
5mg 10....tablet
14 Kalium Klorida (KCl) 25ml ....5...flacon
15 Lidokain 100mg/2ml 5 Ampul
16 Meylon 5....flacon
17 Nitrogliserin NTG 10mg/10ml 5 Ampul
18 Norepinefrin Vascon 4mg/4ml ....10...ampul
Novalgin 1gr/2ml 5 Ampul
19 Metamizole-Na Norages 1gr/2ml 5 Ampul
Antrain 1gr/2ml 5 Ampul
20 Sulfas Atropin 0,25mg/ml 5 Ampul
21 Vitamin K 10mg/ml 5 Ampul
Rativol 30mg 30mg/ml 5 Ampul
22 Ketorolac
22 Ketorolac Teranol 30mg 30mg/ml 5 Ampul
Ketorolac 30 mg 30mg/ml 5 Ampul
Ondane 4 4mg/2ml 5 Ampul
Trovensis 4 4mg/2ml 5 Ampul
23 Ondancetron
Trovensis 8 8mg/4ml 5 Ampul
Ondancetron 4 4mg/2ml 5 Ampul
Streptase Inj. 1,5 JT UI ....1...ampul
24
25 Farbivent inj 2,5ml 5 Ampul
26 Novorapid Flexpen 300U/300ml .2Flexpen
27 Aspilet 80mg 10 ..tablet
28 Ephedrin 50mg/ml 5 Ampul
29 Tetagam P 1ml (250 IU) ....1...ampul
30 Ceftriaxon 1000mg 4Vial
31 Cefotaxim 1000mg 4Vial
Getidin 50mg/2ml 5 Ampul
32 Ranitidin Acran 50mg/2ml 5 Ampul
Ranitidin 50mg/2ml 5 Ampul
33 Gentamicin Sagestam 80mg/2ml 5 Ampul
34 Phenitoin Kutoin 100mg/2ml 5 Ampul
35 Tramadol Tradosik 100mg/2ml 5 Ampul
Ketesse 50mg/2ml 5 Ampul
36 Dexketoprofen
Keren 50mg/2ml 5 Ampul
37 Hyoscine-N-Butylbromide Scopamin 20mg/ml 5 Ampul
Beclov 250mg/2ml 5 Ampul
38 Citicolin Brainact 500mg/4ml 5 Ampul
Citicolin 250mg/2ml 5 Ampul
39 Metoclopramid Primperan 10mg/2ml 5 Ampul
Revolan 3gr/15ml 4 Ampul
40 Piracetam Neurotam 3gr/15ml 4 Ampul
Piracetam 3gr/15ml 4 Ampul
41 Neurobion 3 Ampul
42 Cernevit 3 Vial
43 Mecobalamin kalmeco 500mcg 3 Ampul

CAIRAN
31 Dextrose 10% 3 Botol
32 Asering 3 Botol
33 D 5 1/2 NS 3 Botol
34 D 5 1/4 NS 3 Botol
35 Dextrose 40% 3 flacon
36 Dextrose 5% 3 Botol
37 KAEN 1B 3 Botol
38 KAEN 3B 3 Botol
39 Manitol 1 Botol
40 Nacl 0,9% 3 Botol
41 Ringer Asetat 3 Botol
42 Ringer Lactat 3 Botol
43 WIDAHES 130 1 Botol

ALAT KESEHATAN Satuan PCS

44 Bag Valve (Ambubag) 1
45 Blood Set 10
46 Disp spuit 10cc 100
47 Disp spuit 1cc 100
48 Disp spuit 20cc 100
49 Disp spuit 3cc 100
50 Disp spuit 5cc 100
51 ETT ukuran 6 2
52 ETT ukuran 6,5 2
53 ETT ukuran 7 2
54 ETT ukuran 7,5 2
55 Folley catheter 12 3
56 Folley catheter 14 3
57 Folley catheter 16 3
58 Folley catheter 18 3
59 Infuset Dewasa 10
60 Infuset Anak 10
61 IV Catheter 18 10
62 IV Catheter 20 10
63 IV Catheter 22 10
64 IV Catheter 24 10
65 Penflow 20 4
66 Penflow 22 4
67 Penflow 24 4
68 Penflow 26 4
69 Masker Disposible 100
70 Masker Non Breathing 5
71 Masker Oksigen 5
72 NGT 10 3
73 NGT 12 3
74 NGT 14 3
75 NGT 8 3
76 Gamex 6,5/7/7,5/8 10
77 Sarung Tangan 100
78 Suction Catheter 10 2
79 Suction Catheter 12 2
80 Suction Catheter 14 2
81 Three way 10
82 Three way berekor 10
83 Urinebag non streril 5
84 Wing needle 21 6
85 Wing needle 23 6
86 Needle 18 100
87 needle 23 100
88 Hansaplast 100
89 Daryantull 3
90 Extension Tube 150 cm 5
91 KY jelly 1
92 Selang Oksigen Dewasa 5
93 Selang Oksigen Anak 5
94 Verban 10 cm 10