NO NAMA OBAT Σ

1 Aquadest inj (25 ml) 3

2 Atropin Sulfas 250 mcg/ml inj (1ml) 2
3 Calcii Gluconas 100 mg/mL inj (10 mL) 1
4 Dextros 5% infus (100 mL) 2
5 Difenhidramin 10 mg/mL (1mL) 3
6 Epinephrine 1 mg/mL inj (1 mL) 10
7 Furosemide 10 mg/mL inj (2 mL) 2
8 NaCl 0,9 % (100 mL) 1
9 NaCl 0,9 % (500 mL) 1
10 Ringer Lactat (500 mL) 3
11 Dexamethason 5 mg/mL inj (1 mL) 3
12 dextrose 10% 2
13 diazepam rectal (stesolid) 2
14 D5 1/4 NS 2
15 Parasertamol Infus 1
NO DAFTAR ALKES Σ
1 Infus Mikro 1
2 Infus makro 1
3 Abocath / cateter No.24 1
4 Abocath /Cateter No. 26 1
 PERBEKALAN FARMASI Σ
NO

1 Acetosal 100 mg Tablet 3

3 Aquadest inj (25 ml) 1
4 Asetosal 100 mg tab 3
5 Atropin Sulfas 250 mcg/ml inj (1ml) 5
6 Calcii Gluconas 100 mg/mL inj (10 mL) 2
8 Dextros 40% inj (25 mL) 4
9 Dextros 5% infus (100 mL) 1
11 Difenhidramin 10 mg/mL (1mL) 4
12 Epinephrine 1 mg/mL inj (1 mL) 10
13 Farbivent sol 2
14 Furosemide 10 mg/mL inj (2 mL) 4
15 Indop/Cetadop 40 mg/mL (5 mL) = Dopamin 1
16 Inotrop 25 mg/mL (10 mL) = Dobutamin 1
17 Inviclot 5000 IU/mL (5 mL) = Heparin 1
18 ISDN 5 mg tablet 5
19 KCl 7.46 % 2
20 Lidocain 2 % ( 2mL) 2
21 NaCl 0,9 % (100 mL) 2
22 NaCl 0,9 % (500 mL) 3
23 Natrium Bicarbonat 8,4 % (25 mL) 2
24 Nifedipin 10 mg Tablet 2
25 Norephineprine 1 mg/mL (4 mL) 1
26 Ringer Lactat (500 mL) 3
27 Methylprednisolon 125 mg inj. 2
28 Cedocard inj. 2
29 Dextrose 10 % 500 ml 2
30 Combivent 5

DAFTAR ALKES
Abocaath no 22 2
Abocath No. 24 2
Infus makro pipa 2
Infus mikro pipa 2
 igd

NO DAFTAR OBAT Σ
2 Amiodaro Hcl 1
3 Aquadest inj (25 ml) 3
4 Atropin Sulfas 250 mcg/ml inj (1ml) 5
5 Calcii Gluconas 100 mg/mL inj (10 mL) 2
6 Dexamethason 5 mg/mL inj (1 mL) 4
7 Dextros 40% inj (25 mL) 1
8 Dextros 5% infus (100 mL) 1
9 Dextrose 5% infus (500 mL) 1
10 Diazepam 5mg/ml (2 ml) 4
11 Diazepam per rectal 1
12 Difenhidramin 10 mg/mL (1mL) 3
13 digoxin 0,25 mg/ml (fargoxin) 1
14 Epinephrine 1 mg/mL inj (1 mL) 10
15 Furosemide 10 mg/mL inj (2 mL) 2
16 Indop/Cetadop 40 mg/mL (5 mL) = Dopamin 1
17 Inviclot 5000 IU/mL (5 mL) = Heparin 3
18 KCl 7.46 % 3
19 Lidocain 2 % ( 2mL) 2
20 Manitol 20 %, 500 ml 1
21 MgSO4 20 % (25 ml) 1
22 Morphin 10 mg/ml (1ml) 1
23 Natrium Bicarbonat 8,4 % (25 mL) 3
24 Norephineprine 1 mg/mL (4 mL) 1
25 Phytomenadion 10 mg/mL (1 mL) 3
26 Ringer Lactat (500 mL) 1
ALKES
1 Threeway 1
 NO DAFTAR ALKES ∑
1 Abocath /Catheter iv no 26. 5
2 Cateter Umbical No.5 1
NO DAFTAR OBAT Σ
3 Cateter Umbical No. 8 1
1 Aquadest inj (25 ml) 3 4 ETT no.5 2
2 Atropin Sulfas 250 mcg/ml inj (1ml) 2 5 ETT no.6 2
3 Calcii Gluconas 100 mg/mL inj (10 mL) 2 6 Ett No 7 2
4 Combivent nebu. 2 7 ETT No 2,5 1
5 Dexamethason 5 mg/mL inj (1 mL) 4 8 ETT no 2 1
6 Dextros 40% inj (25 mL) 2 9 Infus Set Dewasa 1
7 Dextros 5% infus (100 mL) 1 10 IV Catheter No. 18 G 1
8 Dextrose 5% infus (500 mL) 1 11 IV Catheter no.20 G 1
9 Dextrose 10% 500 ml 2 12 IV Catheter No. 22 G 1
10 Difenhidramin inj. 1 13 O2 Canal (Min) 1
11 Epinephrine 1 mg/mL inj (1 mL) 10 14 IV Catheter No.24G 1
12 Furosemide 10 mg/mL inj (2 mL) 2 15 Suction Catheter No 6 1
13 Gastrul 200 mcg tablet 4 16 Suction Caatheter No. 12 1
14 Indop/Cetadop 40 mg/mL (5 mL) = Dopamin 1 17 Suction Catheter no 10 1
15 Inotrop 25 mg/mL (10 mL) = Dobutamin 1 18 Stomach Tube No.8 1
16 Lidocain 2 % ( 2mL) 2 19 Stomach Tube Bayi No.5 1
17 MgSO4 20 % (25 ml) 3 20 Syringe Disp 1 ml 3
18 NaCl 0,9 % (100 mL) 1 21 Syringe Disp 10 ml 3
19 NaCl 0,9 % (500 mL) 1 22 Syringe Disp 3 ml 3
20 Oxytocin 10 IU/ml (1 ml) 4 23 Syringe Disp 5 ml 3
21 Prohem 2 mg/ml (1 ml) 3 24 Three Way 1
22 Ringer Laktat 4
23 Sidiadryl 150 mg/15 ml (15 ml) 1
T
ICU

NO DAFTAR OBAT Σ No. DAFTAR ALKES ∑

1 Atropin Sulfas 250 mcg/ml inj (1ml) 10 1 Catheter IV no 22 3
2 Calcii Gluconas 100 mg/mL inj (10 mL) 2 2 Catheter IV No. 24 3
3 Cedocard iv 2 3 Catheter IV No.26 (Bayi) 3
5 Combivent Nebu. 4 4 ETT no 2,5 3
6 Dextros 40% inj (25 mL) 6 5 ETT no 3.0 3
7 Dextrose 5% infus (500 mL) 1 6 ETT No. 3,5 3
8 Dextrose 5 % 100ml 3 7 Infus Set Makro 3
9 Dextrose 10% inf. 500 ml 2 8 Infus Set Mikro 3
10 Diazepam 5mg/ml (2 ml) 5 9 NGT no. 8 3
11 Difenhidramin 10 mg/mL (1mL) 4 10 NGT No.5 3
12 digoxin 0,25 mg/ml (fargoxin) 1 11 Three Way 3
13 Epinephrine 1 mg/mL inj (1 mL) 10
14 Furosemide 10 mg/mL inj (2 mL) 6
15 Indop/Cetadop 40 mg/mL (5 mL) = Dopamin 2
16 Infusan D5 1/4 NS (500 ml) 1
17 Infusan Saline 3 % (500 ml) 1
18 Inotrop 25 mg/mL (10 mL) = Dobutamin 2
19 Inviclot 5000 IU/mL (5 mL) = Heparin 2
20 ISDN 5 mg 5
21 KaEN 500 Ml 1
22 KCl 7.46 % 2
23 Lidocain 2 % ( 2mL) 2
24 Manitol 20 %, 500 ml 1
25 Methylprednisolon 250 mg iv 4
26 MgSO4 20 % (25 ml) 2
27 NaCl 0,9% inf. 500 ml 4
28 NaCl 0,9 % 100 ml 3
29 Natrium Bicarbonat 8,4 % (25 mL) 3
30 Norephineprine 1 mg/mL (4 mL) 4
31 Ringer Laktat 500 ml 4
ZAL UMUM/ZAL ATAS

No DAFTAR OBAT ∑ NO. DAFTAR ALKES ∑

1 Acetosal 100 mg/80 mg 3 1 ETT no.5 2
2 Aquadest inj. (25 mg) 3 2 ETT no.6 2
3 Atropin Sulfas 250 mcg/ml inj (1ml) 5 3 ETT No 7 2
4 Calcii Gluconas 100 mg/mL inj (10 mL) 2 4 Infus set Anak 2
5 Cedocard inj. 2 5 Infus Set Dewasa 2
6 Combivent nebu. 4 6 IV Catheter No. 18 G 1
7 Dexamethason 5 mg/mL inj (1 mL) 4 7 IV Catheter no.20 G 1
8 Dextros 40% inj (25 mL) 8 8 IV Catheter No. 22 G 1
9 Dextros 5 % infus ( 100 ml) 1 9 IV Catheter No.24G 1
10 Dextrose 10% 2 10 Stomach Tube no.14 1
11 Diazepam Inj. 3 11 Stomach Tube No.16 1
12 Difenhidramin 10 mg/mL (1mL) 3 12 Stomach Tube No.8 1
13 Epinephrine 1 mg/mL inj (1 mL) 10 13 Syringe Disp 1 ml 3
14 Furosemide 10 mg/mL inj (2 mL) 4 14 Syringe Disp 10 ml 3
15 Indop/Cetadop 40 mg/mL (5 mL) = Dopamin 1 15 Syringe Disp 3 ml 3
16 Inotrop 25 mg/mL (10 mL) = Dobutamin 1 16 Syringe Disp 5 ml 3
17 Inviclot 5000 IU/mL (5 mL) = Heparin 1 17 Three Way 2
18 ISDN 5 mg 5
19 KCl 7,46 % 2
20 Lidocain 2 % ( 2mL) 2
21 Manitol 20 %, 500 ml 1
22 Methylprednisolon 125 mg inj 2
23 NaCl 0,9% inj(100ml) 2
24 NaCl 0,9 % (500 ml) 3
25 Nifedipin 10 mg 2
26 Norephineprine 1 mg/mL (4 mL) 1
27 Natrium Bicarbonat 8,4% 25 ml (Meylon) 2
28 Ringer Laktat 500 ml 3