You are on page 1of 8

PEMAKAIAN BHP PASIEN OPEN HEART

ANAK
Pasien 1
No
Nama Barang
Diberi Dipakai
1. 3 lumen vygon no. 4 / 5
1/1
2. Adona
2
3. Albumin
1
4. Alkohol 70%
1
5. Alkohol Swab
25
6. Aquadest 25ml / 1 Liter
5/3
7. Arteri Leader vygon no. 22 / 24
1/1
8. Asering
6
9. Betadine 55ml
5
10. Blood Set
3
11. Ca glukonas
2
12. Cardioplegi
1
13. Cavavix
2
14. Conector Elbow
1
15. Conector Tree Way Pendek / Panj
6/4
16. Cordarone
2
17. D5 / D5 1/4 Ns
3/3
18. Demafix 10 x 12
2
19. Dobutamin
1
20. Elektrode ped
5
21. ETT king 4 / 4,5 / 5
@1
22. Extension tube 150 cm / 75cm
@3
23. Extension tube 150 cm mini JMS
3
24. Fentanyl
10
25. Folley Cateter no. ....
1
26. Gamex PF 6,5 / 7 / 7,5 / 8
@5
27. Gastrofer
2
28. Gelofusal
3
29. Heparin
1
30. Hogy L / XL
4/4
31. Infus set
2
32. Jackson Ress Anak
1
33. Kalnex 500mg
6
34. KCl 25 meq
2
35. Ketorolac 30mg
2
36. Lasix
2
37. Lidocain 2%
3
38. Manitol
1
39. Manometer line pt 84
3
40. Mess no. 15 / 11 / 10
@2
41. Metyl Prednisolon
1500mg
42. Meylon
2
43. Microburet
1
44. Fortanes 1mg/ml
2

Sisa Keterangan

No
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.

Nama Barang
Monitoring Kit 2 (Edward)
Morphine
NaCl 25ml / 100ml / 500ml
Needle 18 / 21 / 23 / 25
NGT no. 10 / 12 / 14 / 16
Vometraz 4mg
Opsite 9,5 x 8,5 / 6,5 x 5
Perfusor
Pro IV
Protamin
Recofol
RL
Spuit 10ml / 20ml / 50ml
Spuit 1ml / 3ml / 5ml
Spuit BGA
Steril Drape 3M
Suction conecting tube
Sufratule
Surflo no. 20 / 22 / 24
Tabung Suction Disposible
Tegaderm Pad 9 x 25
Tip Cleaner
Tramadol 100mg
Tramus 25mg
Transofix
U pad on / Steril
Urofix / Urine bag
Vascon
Vit C
Vit K
Durapore
Gentamicin salep mata
Suction cateter no 12

Diberi Dipakai
1
1
@5
@3
@2
2
@2
4
3
5
1
6
10 / 5 / 3
@ 10
5
1
1
2
@3
1
2
2
2
3
2
2
1
1
2
2
1
1
1

Roculax

MgSO4
D40%

3
3

NB : warna merah tidak perlu disiapkan

Sisa Keterangan

PEMAKAIAN BENANG, CANULE DAN OKSIGENATOR PASIEN OPEN HEART


ANAK
No

Nama Barang

Diberi

Dipakai

Sisa Keterangan

terangan

terangan

terangan

PEMAKAIAN BHP PASIEN OPEN HEART


ANAK
Pasien 2
No
Nama Barang
Diberi Dipakai Sisa
1. 3 lumen vygon no. 4 / 5
1/1
2. Adona
2
3. Albumin
1
4. Alkohol 70%
1
5. Alkohol Swab
25
6. Aquadest 25ml / 1 Liter
5/3
7. Arteri Leader vygon no. 22 / 24 1 / 1
8. Asering
6
9. Betadine 55ml
5
10. Blood Set
3
11. Ca glukonas
2
12. Cardioplegi
1
13. Cavavix
2
14. Conector Elbow
1
15. Conector Tree Way Pendek / Pan 6 / 4
16. Cordarone
2
17. D5 / D5 1/4 Ns
3/3
18. Demafix 10 x 12
2
19. Dobutamin
1
20. Elektrode ped
5
21. ETT king 5 / 5,5 / 6
@1
22. Extension tube 150 cm / 75cm
@3
23. Extension tube 150 cm mini JMS
3
24. Fentanyl
10
25. Folley Cateter no. ....
1
26. Gamex PF 6,5 / 7 / 7,5 / 8
@5
27. Gastrofer
2
28. Gelofusal
3
29. Heparin
1
30. Hogy L / XL
4/4
31. Infus set
2
32. Jackson Ress Anak
1
33. Kalnex 500mg
6
34. KCl 25 meq
2
35. Ketorolac 30mg
2
36. Lasix
2
37. Lidocain 2%
3
38. Manitol
1
39. Manometer line pt 84
3
40. Mess no. 15 / 11 / 10
@2
41. Metyl Prednisolon
1500mg
42. Meylon
2
43. Microburet
1
44. Fortanes 1mg/ml
2

Keterangan

No
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.

Nama Barang
Monitoring Kit 2 (Edward)
Morphine
NaCl 25ml / 100ml / 500ml
Needle 18 / 21 / 23 / 25
NGT no. 10 / 12 / 14 / 16
Vometraz 4mg
Opsite 9,5 x 8,5 / 6,5 x 5
Perfusor
Pro IV
Protamin
Recofol
RL
Spuit 10ml / 20ml / 50ml
Spuit 1ml / 3ml / 5ml
Spuit BGA
Steril Drape 3M
Suction conecting tube
Sufratule
Surflo no. 20 / 22 / 24
Tabung Suction Disposible
Tegaderm Pad 9 x 25
Tip Cleaner
Tramadol 100mg
Tramus 25mg
Transofix
U pad on / Steril
Urofix / Urine bag
Vascon
Vit C
Vit K
Durapore
Gentamicin salep mata
Suction cateter no 12

Diberi Dipakai Sisa


1
1
@5
@3
@2
2
@2
4
3
5
1
6
10 / 5 / 3
@ 10
5
1
1
2
@3
1
2
2
2
3
2
2
1
1
2
2
1
1
1

Roculax

MgSO4
D40%

3
3

NB : warna merah tidak perlu disiapkan

Keterangan

You might also like