LAMPIRAN PROTAP

I. DAFTAR OBAT YANG PERLU DIWASPADAI HIGH ALERT MEDICATION

(HAM)

Bentuk
No Nama Generik Nama Dagang Kekuatan Ket.
Sediaan
1 Kalium klorida (KCl) Injeksi Otsu-KCl 7,46 % Elektrolit
2 Natrium klorida (NaCl) Injeksi NaCl 3% 3% konsentrat
Antikoagul
5000 an,
3 Heparin Natrium Injeksi Inviclot
IU/mL kelompok
heparin
3800 U/0,3
mL Antikoagul
3800 U/0,4 an,
4 Nadroparin Ca Injeksi Fraxiparine
mL kelompok
3800 U/0,6 heparin
mL berat
20 mg/0,2 molekul
mL rendah (low
40 mg/0,4 molecular
5 Enoxaparine Injeksi Lovenox
mL weight
60 mg/0,6 heparin)
mL
Antikoagul
an,
kelompok
turunan
6 Fondaparinux Injeksi Arixtra 2,5 mg
heparin
sintetis,
penghambat
faktor Xa
Agen
antitrombot
7 Streptokinase Injeksi Streptase 1,5 juta IU ik,
kelompok
fibrinolitik
100 mg/4
mL,
8 Bevacizumab Injeksi Avastin
400mg/16
mL
Serbuk
Blenamax
9 Bleomisin Injeksi injeksi 15
Bleocin Sitostatika
mg/ampul
50mg/5mL,
150mg/
Generik,
10 Carboplatin Injeksi 15mL
Carbosin
450mg/45m
L,
 600mg/60m
L
10 mg/10
mL
Generik, 50 mg/50
11 Cisplatin Injeksi
Platosin mL
100
mg/100mL
200 mg
Generik,
,500 mg,
Cytoxan,
12 Cyclophosphamide Serbuk injeksi 1000 mg,
Endoxan,
2000 mg
Cyclovid
Cytosar,
100mg/mL,
Alexan,
13 Cytarabine Injeksi 1 g/10mL
Cytarabine
DBL 2 g/20mL
200 mg
14 Dacarbazine Injeksi Generik, DBL
600 mg
CERUBIDINE,
15 Daunorubicin Injeksi 20 mg
Daunocin
20 mg/0.5
Taxotere,
mL
16 Docetaxel Injeksi Docetere,
80 mg/2
Brexel
mL
10mg,
Generik,Doxoru 20mg,
17 Doxorubicin Serbuk injeksi
bin 50mg,
200mg
10 mg/5
mL
Generik, 50mg/25
18 Epirubicin Injeksi
Farmorubicin mL
200mg/100
mL
100 mg/5
mL
200 mg/10
Vepeside, mL
19 Etoposide Injeksi
Posyd 500 mg/25
mL
Sitostatika
1000 mg/50
mL
250 mg/5
Generik, mL ,
20 Fluorouracil Injeksi
Fluracedyl 500mg/10
mL
21 Gemcitabine Injeksi Cytogem, 200 mg , 1
 Gemzar, g
Gemtavis Padat
22 Ifosfamide Injeksi Ifex , Haloxan 1 g, 3 g
40 mg/2mL
100mg/
23 Irinotecan Injeksi Campto 5mL,
500mg/
25mL
11,88
24 Leuprorelin Injeksi Tapros
mg/vial
50 mg/2mL
500mg/20m
25 Methotrexat Injeksi Generik L
1g/40mL
5g/200mL
5 mg , 10
Mitonco,
26 Mitomycin Injeksi mg
Mutamycin
20 mg
50
27 Nimotuzumab Injeksi TheraCIM
mg/10mL
50 mg/10
mL
Eloxatin 100mg /20
Rexta, mL
28 Oxaliplatin Injeksi
Oxaliplatin 200mg/40m
Medac L
50 mg , 100
mg
30 mg/5
mL
100
Generik, Paxus,
29 Paclitaxel Injeksi mg/16.7
Taxol
mL
300 mg/50
mL
100 mg/
10 mL
30 Rituximab Injeksi MabThera
500 mg/
50 mL
Sitostatika
440 mg/
31 Trastuzumab Injeksi Herceptin
20mL
10 mg/
32 Vinblastine Injeksi Vinblastin PCH
10 mL
Vincristine 1 mg/1 mL
33 Vincristine Injeksi PCH,ONCOVI 2mg / 2mL
N 5 mg/5 mL
10 mg/
1 mL
34 Vinorelbine Injeksi Navelbine
50 mg/
5 mL
 Ethrane
35 Enflurane Cairan 250 mL
Compund
50 mL
36 Halothane Cairan Halothane
250 mL
Isofluran
37 Isoflurane Cairan 250 mL
Terral
Ketalar
50 mg/mL
38 Ketamine Injeksi Ketamin
100 mg/mL
Hamelm
500 mg
39 Thiopental Natrium Serbuk injeksi Penthotal Anastetika
1000 mg
Lipuro
40 Propofol Cairan 10 mg/mL
Fresofol
Sojourn
41 Sevoflurane Cairan 250 mL
Sevorane
42 Desflurane Cairan Suprane 250 mL
Marcain
43 Bupivacain HCl epidural Injeksi 0,5%
epidural
Marcain spinal,
44 Bupivacain spinal Injeksi 0,5%
Buvanest spinal
45 Lidocain Injeksi Lidocain HCl 2%
46 Lidocain epidural Injeksi Xylocain -
Lidocain HCl 20 mg
Ampul
47 + Injeksi Pehacain
2 mL
Adrenalin 12,5 mcg
Anestetika
Hipnoz 5mg/5mL
48 Midazolam Injeksi
Fortanest 15mg/3mL
7,5 mg/mL
Naropin
49 Ropivakain Injeksi ampul
epidural
20mL

50 Epinefrin Injeksi Epinefrine 0,1%

Agonis
Raivas, Vascon, 1 mg/mL adrenergik
51 Norepinefrin Injeksi
Levosol 8mg/8mL
Antagonis
52 Metoprolol Injeksi Fapresor 1 mg/mL
adrenergik
Humulin R
Novorapid
Humulin 30/70
Actrapid
Mixtard
53 Insulin Injeksi Lantus - Insulin
Levemir
Apidra
Humalog
Novorapid
Humalog Mix
Kendarone, 150 mg/
54 Amiodaron Injeksi Antiaritmia
Cordarone ampul
 0,25 mg/ Glikosida
55 Digoxin Injeksi Fargoxin
mL jantung
56 Fentanyl Injeksi Fentanil John 50 mcg/mL
57 Morfin Injeksi Morfin 10 mg/mL Analgesik
58 Pethidin Injeksi Pethidin Kifa 50 mg/mL narkotika
59 Sufentanil Injeksi Sufenta 5 mcg/mL
Nutrisi
60 Glukosa 40% Injeksi Otsu-D40 Infus 40%
parenteral

II. LABEL HAM