Lampiran 2
DAFTAR KEMIRIPAN NAMA OBAT (LOOK A LIKE)
RS BUDIASIH SERANG
LOOK A LIKE
Albothyl Ovula
4life Transfer Factor Kapsul
Abbotic Granule 125 Mg Syr
Acyclovir 200 MG Tablet
Adalat Oros 20 Mg Tablet
Akilen 200 Mg Tablet
Alofar 100 Mg Kaplet
Amaryl 1 Mg Tablet
Amaryl 1 Mg Tablet
Amaryl 2 Mg Tablet
Ambroksol
Amlodipin 5 Mg Tablet
Amoksisilin
Amoxsan 125 Mg Syr
Apolar Cream
Ascardia 80 Mg Tablet
Asthin Force 4 Mg Kapsul
Atorsan 10 Mg Tablet
Benoson Cream 5 Gr
Betarhin Syr
Bisolvon Drop 10 Mg
Blopress 8 Mg Tablet
Boraginol N Supp
Bufect Syr
Buscopan 10 Mg Tablet
Calcifar Kaplet
Captopril 12.5 Mg Tablet
Cataflam 25 Mg Tablet
Cataflam 50 Mg Tablet
Cedantron 4 Mg Ampul
Cefat 125 Mg Dry Syr
Cefspan 100 Mg Tablet
Cendo Gentamycin Salep Mata
Cendo Mycetine Salep Mata
Cholestat 10 Mg Tablet
Faktus Supp
4life Transfer Factor PLUS Kapsul
Abbotic Syr 250 MG Syr
Acyclovir 400 Mg Tablet
Adalat Oros 30 Mg Tablet
Akilen 400 Mg Tablet
Alofar 300 Mg Kaplet
Amaryl 2 Mg Tablet
Amaryl 3 Mg Tablet
Amaryl 3 Mg Tablet
Amoksisilin
Amlodipin 10 Mg Tablet
Ambroksol
Amoxsan Forte 250 Mg Syr
Apolar N Cream
Ascardia 160 Mg Tablet
Asthin Force 6 Mg Kapsul
Atorsan 20 Mg Tablet
Benoson N 5 Gr
Oxopect Syr
Bisolvon Exlisir
Blopress Plus 16 Mg Tablet
Boraginol S Supp
Bufect Forte Syr
Buscopan Plus Tablet
Calcifar Plus Kaplet
Captopril 25 Mg Tablet
Cataflam 50 Mg Tablet
Cataflam Disp 50 Mg Tablet
Cedantron 8 Mg Ampul
Cefat Forte 250 Mg Dry Syr
Cefspan 200 Mg Tablet
Cendo Mycetine Salep Mata
Cendo Gentamycin Salep Mata
Cholestat 20 Mg Tablet
 Cinolon Cream
Clamixin 125 Mg Syr
Claneksi 125 Mg Syr
Climadan 150 Mg Tablet
Clindamycin 150 Mg Kapsul
Codipront Cum Expectorant syr
Dextrose 40%
Dextrosin Anak Syr
Diovan 160 Mg Tablet
LOOK A LIKE
Dulcolax 5 Mg Supp
Elkana-Cl Emulsi
Engerix B anak 0.5 Ml
Epexol Syr
Episan Syr
Etafen 100 Mg Syr
Euvax B 1 Ml
Faktus Supp
Faxiden 10 Mg Kaplet
Fixiphar 100 Mg Kapsul
Fluimucil Paed Sachet
Folavit 1 Mg Tablet
Furosemid Ampul
Glimepiride 1 Mg Tablet
Glimepiride 1 Mg Tablet
Glimepiride 2 Mg Tablet
Gramet 1 Mg/Ml Ampul
Hi-Bone 600 Mg Kaplet
Illiadin 0.05 % Semprot
Im Boost Force Syr
Imunos Kaplet
Imunos Plus Syr
Infanrix
Influenza virus vaccine
Kaltrofen 100 Mg Tablet
Kenalog In Orabase
Lameson 4 Mg Tablet
Lametic 8 Mg Ampul
Cinolon N Cream
Clamixin 250 Mg Syr
Claneksi 250 Mg Syr
Climadan 300 Mg Tablet
Clindamycin 300 Mg Kapsul
Codipront Syr
Meylon
Dextrosin Syr
Diovan 80 Mg Tablet
Dulcolax 10 Mg Supp
Elkana Syr
Engerix B dewasa 1 Ml
Episan Syr
Epexol Syr
Etafen Forte 200 Mg Syr
Euvax B Paediatr 0.5 Ml
Albothyl Ovula
Faxiden 20 Mg Kaplet
Fixiphar 200 Mg Kapsul
Fluimucil Sachet
Folavit 400 Ug Tablet
Ranitidine Ampul
Glimepiride 2 Mg Tablet
Glimepiride 3 Mg Tablet
Glimepiride 3 Mg Tablet
Gramet 3mg/3ml Ampul
Hi-Bone 400Mg Kaplet
Illiadin 0.25% Tts Hdung
Imboost Syrup
Imunos Plus Kaplet
Imunos Syr
Infanrix Hib
Tuberculin purified protein derivative (PPD)
Kaltrofen 50 Mg Tablet
Myco Z Ointment
Lameson 8 Mg Tablet
Lametic 4 Mg Ampul
 Lanfix 100 Mg Kapsul Lanfix 200 Mg Kapsul
Lantiflam 100 Mg Tablet Lantiflam 50 Mg Tablet
Lapicef 125 Mg Syr Lapicef 250 Mg Syr
Lapifed DM Syr Lapifed Syr
Lapimox 125 Mg Syr Lapimox 250 Mg Syr
Lasal Exp Syr Lasal Syr
Lasix Ampul Novalgin Ampul
Lipitor 10 Mg Tablet Lipitor Tablet 20 Mg Tablet
Lipitor 10 Mg Tablet Lipitor 40 Mg Tablet
Lipitor Tablet 20 Mg Tablet Lipitor 40 Mg Tablet
Meloxicam 15 Mg Tablet Meloxicam 7.5 Mg Tablet
Meropenem 1 Gr Vial Meropenem Injk 0,5 Gr Vial
Mertigo Sr Tablet Mertigo Tablet 6 Mg Tablet
Metformin 500 Mg Tablet Metronidazole 500 mg Tablet
Methyl Prednisolon 4 Mg Tablet Methyl Prednisolon 8 Mg Tablet
Metronidazole 500 mg Tablet Metformin 500 Mg Tablet
Metronidazole 500 Mg Tablet Metformin 500 Mg Tablet
Metronidazole Inf Paracetamol Inf
Meylon Dextrose 40%
MgSO4 40 % MgSO4 20%
MgSO4 20 % MgSO4 40%

LOOK A LIKE
Myco Z Ointment Kenalog In Orabase
Narfoz 8 Mg Ampul Narfoz 4 Mg Ampul
Neurosanbe 5000 Tablet Neurosanbe Tablet
Noprostol Tablet Proterin Tablet
Novalgin Ampul Lasix Ampul
Ondansentron 4 Mg Ampul Ondansetron 8 Mg Ampul
Ondansentron 4 Mg Tablet Ondansetron 8 Mg Tablet
Opicef 125 Mg Syr Opicef 250 Mg Syr
Opimox 125 Mg Syr Opimox 250 Mg Syr
Optimax Tablet Optimax For G Tablet
Ostelox 15 Mg Tablet Ostelox 7.5 Mg Tablet
Oxopect Syr Betarhin Syr
Pantocer 20 Mg Tablet Pantocer 40 Mg Tablet
Paracetamol Inf Metronidazole Inf
Piroxicam 10 Mg Tablet Piroxicam 20 Mg Tablet
Polycrol Syr Polycrol Forte Syr
Poro 125 Mg Supp Poro 250 Mg Supp
 Pospargin Tab Premaston Tab
Potassium Diclofenac Sodium Diclofenac
Praxion 120 Mg Syr Praxion 250 Mg Syr
Premaston Tab Pospargin Tab
Prolacta Dha For Baby Kapsul Prolacta Dha For Mother Kapsul
Prolic 150 Mg Kapsul Prolic 300 Mg Kapsul
Propyretic 160 Mg Supp Propyretic 240 Mg Supp
Propyretic 160 Mg Supp Propyretic 80 Mg Supp
Propyretic 240 Mg Supp Propyretic 80 Mg Supp
Proterin Tablet Noprostol Tablet
Provital Plus Tablet Provital Tablet
Psidii Syr Vometa Syr
Ranitidine Ampul Furosemid Ampul
Rhelafen Forte Syr Rhelafen Syr
Rhinathiol Paed Syr Rhinathiol Prometazine Syr
Rifampicin 300 Mg Tablet Rifampicin 450 Mg Tablet
Rifampicin 300 Mg Tablet Rifampicin 600 Mg Tablet
Rifampicin 450 Mg Tablet Rifampicin 600 Mg Tablet
Rimactazid 450/300 Tablet Rimactazid Pead 75/50 Tablet
Rimcure 3-FDC Tablet Rimcure Pead Tablet
Rimcure Pead Tablet Rimcure 3-FDC Tablet
Salbutamol 2 Mg Tablet Salbutamol 4 Mg Tablet
Sanadryl DMP Syr Sanadryl Exp Syr
Sanprima Forte Kaplet Sanprima Kaplet
Santa E 100 Tablet Santa E-200 Tablet
Santa E 100 Tablet Santa E -400 Tablet
Santa E-200 Tablet Santa E -400 Tablet
Scopamin Plus Tablet Scopamin Tablet
Simvastatin 10 Mg Tablet Simvastatin 20 Mg Tablet
Sodium Diclofenac Potassium Diclofenac
Stesolid Rectal 10 Mg Stesolid Rectal 5 Mg
Telfast Hd 180 Mg Tablet Telfast Od 120 Mg Tablet

LOOK A LIKE
Tensicap 12.5 Mg Tablet Tensicap 25 Mg Tablet
Tensivask 10 Mg Tablet Tensivask 5 Mg Tablet
Tetanus diptheria toxoid (Td) Tuberculin purified protein derivative (PPD)
Tramadol 100 Mg Ampul Tramadol 50 Mg Ampul
Tramal 100 Mg Ampul Tramal 50 Mg Ampul
Tuberculin purified protein derivative (PPD) Influenza virus vaccine
Tuberculin purified protein derivative (PPD)
Unalium 10 Mg Tablet
Valemia 10mg
Valisanbe 2 Mg Tablet
Viccillin Vial
Volinol 500 Mg Kaplet
Voltadex 25 Mg Tablet
Vomceran 4 Mg Tablet
Vometa Syr
Xepalium 10 Mg Tablet
Zumafib 100 Mg Tablet
Zypraz 0.25 Mg Tablet
Tetanus diptheria toxoid (Td)
Unalium 5 Mg Tablet
Volinol 500 Mg Kaplet
Valisanbe 5 Mg Tablet
Viccillin SX 1500 Mg Vial
Valemia 10mg
Voltadex 50 Mg Tablet
Vomceran 8 Mg Tablet
Psidii Syr
Xepalium 5 Mg Tablet
Zumafib 300 Mg Tablet
Zypraz 0.5 Mg Tablet
 DAFTAR KEMIRIPAN NAMA OBAT (SOUND A LIKE)
RS BUDIASIH SERANG

SOUND A LIKE
Artro PLUS Caplet ArtroDAR Tab
ArtroDAR Tab Artro PLUS Caplet
ATROpine EPINEprin
cefIM cefTIEN
CefOTAXIM CefTRIAXON
cefTIEN cefIM
CefTRIAXON CefOTAXIM
ePHEDrin ePINEPHrine
ePINEPHrine ePHEDrin
EPINEprin ATROpine
forMOM forMUNO
forMUNO forMOM
gentAMYCIN gentIAN violet
gentIAN violet gentAMYCIN
ketALAR ketOROLAC
ketOROLAC ketALAR
lactaMAM lactaMOR
lactaMOR lactaMAM
lapiCEF lapiSIV
lapiSIV lapiCEF
merTIGO meTHERGIN
meTHERGIN merTIGO
methyl predniSOLONE predniSON
NICARdipine NIFEdipine
NIFEdipine NICARdipine
osteoCAL Tab osteoR Tablet
osteoR Tablet osteoCAL Tab
plasMIN plasMINEX
plasMINEX plasMIN
predniSON methyl predniSOLONE
proteRIN proteXIN Infant
proteXIN Infant proteRIN
RANIvell RYvel
rhinoFED rhinOS
rhinOS rhinoFED
RYvel RANIvell
trifed trifeDRIN
trifeDRIN trifed
vomeCHO vomeTA
vomeTA vomeCHO
yaSMIN yaZ
yaZ yaSMIN
Lampiran 1
DAFTAR OBAT HIGH ALERT
INSTALASI FARMASI RS BUDIASIH SERANG

NO KELAS TERAPI NAMA GENERIK BENTUK NAMA DAGANG

SEDIAAN ELEKTROLIT PEKAT
Dekstrose hipertonik ( ≥
1 Dextrose Flash Dextrose 40%
20%)
2 Antidotum Natrium Bikarbonat Flash Meylon
3 Electrolite balance Kalium Klorida (KCL) Flash Otsu KCL 7.46% vial 25 ml
Natrium Klorida (Nacl) Infus Nacl Infus 3% 500 ml
4 Antikonvulsi Magnesium Sulfat (MgSO4) Flash MgSO4 40%
Flash MgSO4 20%
SEDIAAN OBAT
5 Anestesi Umum Sevofluran Inhalasi 1. Sevodex inhalasi
2. Sevorane inhalasi
Midazolam Injeksi Midazolam hameln 5mg/ml
Ketamin Injeksi Ketamine hameln 50mg/ml
Propofol Injeksi Recofol 200mg/20ml
6 Anestesi lokal Lidocain Injeksi Lidocain 20mg/2ml
Bupivacain HCL Injeksi 1. Bupivacain 20mg/4ml
2. Regivell amp 20mg/4ml
Ropivacaine HCL Injeksi Naropin 7.5mg/ml
7 Analgetik narkotika Fentanyl Injeksi Fentanyl 100mcg/2ml
Patches Durogesic patch 25 mcg/hr
8 Analgetik narkotika Pethidin Injeksi Pethidin amp
9 Antitrombotik Heparin Na Injeksi Inviclot vial 5000iu/5 ml
10 Antiaritmia IV Amiodarone Injeksi Tiaryt 50mg/ml
Nicardipin Injeksi Tensilo 1mg/ml
Epinephrine, Lidocain HCL Injeksi Pehacain inj
11 Agonis adrenergik IV Epinephrine (adrenalin) Injeksi Epinephrine 1mg/ml
Norepinephrine Injeksi Norepinephrine 4mg/4ml
12 Agen blok neuromuscular Rocuronium Br Injeksi Rocum inj 10mg/ml
Vekuronium Injeksi Ecron 4mg/ml
Neostigmin Injeksi Prostigmin 0,5mg/ml
13 Anti Kolinergik Atropin Sulfat Injeksi Atropin Sulfat 0,25mg/ml
14 Obat inotropik IV Dopamin Injeksi Dopamin 20mg/ml
15 Oxytocin IV Oxytocin Injeksi 1. Induxin inj 10UI/ml
2. Oxyla Inj 10UI/ml

Fokus Penanganan dan Perhatian :

1. Lakukan Double Check
2. Hanya disimpan di tempat tertentu
3. Baca dengan benar instruksi penggunaan obat
4. Hanya diresepkan oleh dokter yang berwenang
Form Monitoring Obat High Alert

Unit Asal :

Bulan :
Minggu I Minggu II Minggu III Minggu IV
No Pemantauan
Sesuai Tidak Sesuai Tidak Sesuai Tidak Sesuai Tidak
1 Kondisi suhu penyimpanan (20°- 25°C)
2 Pelabelan (stiker) HIGH ALERT
3 Kondisi tempat penyimpanan
4 Jumlah item
5 Tanggal kadaluarsa