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Daftar lampiran : Keputusan Kepala Puskesmas Sragi I

Nomor : 800/C/SK/VIII/2017/421
Tanggal : 10 Mei 2017

DAFTAR OBAT DAN ALKES PAKAI HABIS YANG TERSEDIA


24 JAM DI PUSKESMAS SRAGI I

NO NAMA OBAT SAT. NO NAMA OBAT SAT.

OBAT 86 Prokain Benzil Penisilin inj vial


1 Alopurinol tablet 100 mg. tablet 87 Propanolol tablet
2 Aminofilin inj 24 mg/ml ampul 88 Ranitidin tablet
3 Aminofilin tablet 200 mg tablet 89 Ranitidin inj ampul
4 Amoksisilin kaplet 500 mg kapsul 90 Ringer Laktat lar. infus steril botol
5 Amoksisilin sirup kering botol 91 Salbutamol 2.5 mg/2.5 ml neb. ampul
6 Ampisilin inj 1000 mg/ml vial 92 Salbutamol tablet 2 mg tablet
7 Antalgin 500 mg tab tablet 93 Salep 2-4 Kombinasi pot
8 Antasida dOEN tablet tablet 94 Salisil Bedak 2 % botol
9 Antasida syr botol 95 Serum ABU Polivalen inj. 5 ml vial
10 Anti Hemoroid DOEN suppo 96 Serum ATS 1.500 iu ampul

11 Aquadest steril pro inj vial 97 Simvastatin 20 mg tab tablet

12 Asam Askorbat tablet 50 mg tablet 98 Spasminal tab tablet


13 Asam Mafenamat 500 mg tablet 99 Tambah darah Fe tablet
14 Atropin sulfas inj 0,25 mg/ml ampul 100 Tambah darah Fe dg multivitamin kapsul
15 Attapulgit Tab tablet 101 Thiamfenikol kapsul 500 mg kapsul
16 Betahistin mesilate tab tablet 102 Thiamfenikol syr botol
17 Betametason Krim 0,1 % tube 103 Thiamin HCl tablet 50 mg tablet
18 Bisacodil 5 mg tab tablet 104 Vit. B12 tablet tablet
19 Captopril 12,5 tablet 105 Vitamin B Kompleks tablet botol
20 Cefadroxil 500 mg kapsul 106 Zink 20 mg tab tablet
21 Cefotaxime 1 gr inj vial ALKES PAKAI HABIS
22 Ciprofloxacin 500 mg kaplet 1 Alat suntik 1 ml biji
23 Deksametason inj. 5 mg/ml ampul 2 Alat suntik sekali pakai 10 ml set
24 Dexamethason 0,5 mg tab tablet 3 Alat suntik sekali pakai 3 ml set
25 Diazepam 10 mg rectal tube 4 Alat suntik sekali pakai 5 ml set
26 Diazepam 5 mg rectal tube 5 Bisturi buah
27 Diazepam inj 5 mg/ml-2 ml ampul 6 Blood tranfusi set set
28 Diazepam tab 2 mg tablet 7 Brand Spiritus liter
29 Diazepam tab 5 mg tablet 8 Catgut & Benang Bedah No. 3/0 pcs
30 Difenhidramin HCl injeksi ampul 9 Catgut & Benang Bedah No.2/0 pcs
31 Digoksin tablet 0,25 mg tablet 10 Kasa dg antiinfektikum lembar
Desinfectan non air pakai
32 Dimenhidrinat tab tablet 11 aplikator 500 ml Botol
Disinfektan Chlorhexidin 4% 500
33 Domperidon drop botol 12 ccc dg dispenser
botol
34 Epineprin Hcl/Btrt. Inj. 0,1% ampul 13 Etakridin larutan 0,1% botol
35 Fenobarbital inj 50 mg/ml-2 ml ampul 14 Etanol 70% botol
36 Fenobarbital tablet 30 mg tablet 15 Hanschoon L kotak
37 Fenol gliserol tetes telinga botol 16 Hanschoon M kotak
38 Fitomenadion tablet 10 mg tablet 17 Infusion set anak set
39 Fitomenadion (vit.K1) inj 10 mg/ml ampul 18 Infusion set dewasa set
40 Fitomenadion inj 2 mg/ml (For infant) amp 19 IV catheter 18 pcs
41 Furosemid inj ampul 20 IV Catheter 20 biji
42 Furosemid tablet 40 mg tablet 21 IV Catheter 22 biji
43 Garam Oralit utk 200 mlair sak 22 IV Catheter 24 biji
44 Gentamisin inj ampul 23 Jarum injeksi 1cc pcs
45 Gentian Violet larutan 1 % botol 24 Jarum jahit No. 9 Pcs
46 Glibenklamid tablet 5 mg tablet 25 Jarum jahit dalam No.9 set
47 Glukosa infus 10% botol 26 Jarum jahit no. 10 pcs
48 Glukosa infus 40 % ampul 27 Jarum Jahit dalam No.10 pcs
49 Glukosa infus 5 % botol 28 Jarum jahit no. 13 pcs
50 HCL. Papaverin 40 mg tablet 29 Jelly tube
51 Hidroklorotiazid (HCT) tab 25 mg tablet 30 Kacamata google pcs
52 Hidrokortison krim 2,5 % tube 31 Kapas Pembalut 250 gram rol
53 Ibuprofen tablet 200 mg tablet 32 Kasa Kompres 40/40 steril rol
54 Isosorbid Dinitrat tab Sub 5 mg tablet 33 Kasa Pembalut 4 X 15 Cm rol
55 Kalsium Glukonas inj 10% vial 34 Kasa pembalut 4x5 cm rol
56 Kaolin-pectin syr (1) botol 35 Kasa Pembalut 2 M X 80 Cm rol
57 Kloramfenikol inj vial 36 Kasa Pembalut hidrofil 4 x 10 rol
58 Kloramfenikol kapsul 250 mg kapsul 37 Kasa steril 16 x 16 lembar
59 Kloramfenikol SM 1 % tube 38 Klorin botol
60 Kloramp TM botol 39 Lisol botol
61 Klorfeniramin Maleat tab 4 mg tablet 40 Masker buah
62 Kotrimoksazol Dewasa tablet tablet 41 Masker N95 pcs
63 Kotrimoksazol Suspensi botol 42 Mucus Extractor pcs
64 Lidocain inj 2% ( murni) amp 43 Nelaton Catheter no 18 pcs
65 Lidokain Kompositum injeksi ampul 44 Nelaton Catheter no 20 pcs
66 Loperamide tablet 45 NGT buah
67 Metformin 500 mg tablet 46 O2 Spray ( Oxycan ) btl
68 Metilergometrin injeksi ampul 47 Plester 5 yards x 2 inch rol
69 Metilergometrin tablet tablet 48 Plester non alergi 10 cmx5m buah
70 Metoklopramide 10 mg tablet 49 Plester non alergi 5 cm x 5m buah
71 Metoklorpamid inj ampul 50 Polycatheter no. 14 buah
72 Metronidazol 500 mg tablet 51 Polycatheter no. 16 buah
73 Metronidazol syr botol 52 Polycatheter no. 18 buah
74 MgSO4 inj 20% vial 53 Sarung tangan pjng obgyn steril pasang
75 MgSO4 inj 40% vial 54 Selang O2 anak buah
76 Mikonazol krim tube 55 Selang O2 bayi buah
77 Na. Klorida infus 0,9% steril botol 56 Selang O2 dewasa buah
78 Nifedipin tab tablet 57 Silk No. 3/0 rol
79 Oksitetrasiklin SK 3% tube 58 Umbilical cord klem pcs
80 Oksitosin inj 10 IU/ml - 1 ml ampul 59 Urine bag buah
81 Omeperazol 20 mg caps caps 60 Wing Needle No. 23 biji
82 Parasetamol 500 mg tablet 61 Wing Needle No. 25 biji
83 Parasetamol sirup 120 mg/5ml botol 62 Yodium Pov. Lrt 10 % 300 ml botol
84 Piridoksin HCl tablet 10 mg tablet 63 Three way stop cock pcs
85 Prednison tablet 5 mg tablet 64 Underpad pcs