Drug Library for Space Pump

: please select one

This drug has been confirmed to be used in our Hospital / ward.
Hospital Name : RSUD CILACAP
: filled manually Technicians will make the program based on this data and not User Name : Bpk. Tupar H.
responsible for the data contents.
Drug Library for Space Pump : filled automatically

Profile PCA only

Amount of Active
Filling Volume Concentration Dose Mode
Short Name Substance Time Bolus Limit Lockout
No Drug Name Pump Type Profile
(max. 7 characters) Frame
Value Unit Value Unit Value Unit (hours) Value Unit Value Unit (hh:mm) Activation

ex Morphine Morp1 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) PCA 24 2 mg 75 mg 0:15 Yes

ex Dobutamine Dobu5 250 mg 50 mL 5 mg/mL Infusomat Space (Infusion Pump) STANDARD Yes

ex Propofol Prop 0 0 #DIV/0! / Perfusor Space (Syringe Pump) TCI No

ex Adrenalin Adre1 1 mg 50 mL 0.02 mg/mL Perfusor Space (Syringe Pump) STANDARD Yes

ex Fentanyl Fenta2 100 g 50 mL 2 g/mL Perfusor Space (Syringe Pump) PCA 4 5 mL 20 mL 0:20 No

1 Dopamin DOPA200 200 mg 50 mL 4 mg/mL Perfusor Space (Syringe Pump) STANDARD

2 ISDN ISDN 10 10 mg 50 mL 0.2 mg/mL Perfusor Space (Syringe Pump) STANDARD

3 Noreprineprin NORE 4 4 mg 50 mL 0.08 mg/mL Perfusor Space (Syringe Pump) STANDARD

4 Nicardipin NICARDIO 10 mg 50 mL 0.2 mg/mL Perfusor Space (Syringe Pump) STANDARD

5 MGSO4 SM_TTNS 10 g 25 mL 0.4 g/mL Perfusor Space (Syringe Pump) STANDARD

6 Insulin INSUL50 50 U 50 mL 1 Perfusor Space (Syringe Pump) STANDARD

7 NTG NTG 10 10 mg 50 mL 0.2 mg/mL Perfusor Space (Syringe Pump) STANDARD

8 Furosemide FUROSE2 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) STANDARD

9 Tramadol TRAMAD2 100 mg 20 mL 5 mg/mL Perfusor Space (Syringe Pump) STANDARD

10 Diltiazem DILTI50 50 mg 50 mL 1 mg/mL Perfusor Space (Syringe Pump) STANDARD

11 Midazolam MIDAZ15 15 mg 20 mL 0.75 mg/mL Perfusor Space (Syringe Pump) STANDARD

 : please select one
This drug has been confirmed to be used in our Hospital / ward.
Hospital Name : RSUD CILACAP
: filled manually Technicians will make the program based on this data and not User Name : Bpk. Tupar H.
responsible for the data contents.
Drug Library for Space Pump : filled automatically

Profile PCA only

Amount of Active
Filling Volume Concentration Dose Mode
Short Name Substance Time Bolus Limit Lockout
No Drug Name Pump Type Profile
(max. 7 characters) Frame
Value Unit Value Unit Value Unit (hours) Value Unit Value Unit (hh:mm) Activation

ex Morphine Morp1 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) PCA 24 2 mg 75 mg 0:15 Yes

12 Aminophilin AMINO10 240 mg 20 mL 12 mg/mL Perfusor Space (Syringe Pump) STANDARD

13 Daizepam DIAZ 2 10 mg 20 mL 0.5 mg/mL Perfusor Space (Syringe Pump) STANDARD

14 Catapres CATAP1 150 mg 20 mL 7.5 mg/mL Perfusor Space (Syringe Pump) STANDARD

15 Heparin HEPARIN 10 kU 50 mL 0.2 kU/mL Perfusor Space (Syringe Pump) STANDARD

16 Amiodaron AMIO50 150 mg 50 mL 3 mg/mL Perfusor Space (Syringe Pump) STANDARD

17 Dobutamin DOBU250 250 mg 50 mL 5 mg/mL Perfusor Space (Syringe Pump) STANDARD

18 Dopamin Dopa400 400 mg 50 mL 8 mg/mL Perfusor Space (Syringe Pump) STANDARD

19 Dopamin Dopa600 600 mg 50 mL 12 mg/mL Perfusor Space (Syringe Pump) STANDARD

20 Dobutamin Dobu500 500 mg 50 mL 10 mg/mL Perfusor Space (Syringe Pump) STANDARD

21 Dobutamin Dobu750 750 mg 50 mL 15 mg/mL Perfusor Space (Syringe Pump) STANDARD

22 Noreprineprin NORE 8 8 mg 50 mL 0.16 mg/mL Perfusor Space (Syringe Pump) STANDARD

23 Noreprineprin NORE 12 12 mg 50 mL 0.24 mg/mL Perfusor Space (Syringe Pump) STANDARD

24 Nicardipin NICAR20 20 mg 50 mL 0.4 mg/mL Perfusor Space (Syringe Pump) STANDARD

25 Nicardipin NICAR30 30 mg 50 mL 0.6 mg/mL Perfusor Space (Syringe Pump) STANDARD

26 NTG NTG 20 20 mg 50 mL 0.4 mg/mL Perfusor Space (Syringe Pump) STANDARD

 : please select one
This drug has been confirmed to be used in our Hospital / ward.
Hospital Name : RSUD CILACAP
: filled manually Technicians will make the program based on this data and not User Name : Bpk. Tupar H.
responsible for the data contents.
Drug Library for Space Pump : filled automatically

Profile PCA only

Amount of Active
Filling Volume Concentration Dose Mode
Short Name Substance Time Bolus Limit Lockout
No Drug Name Pump Type Profile
(max. 7 characters) Frame
Value Unit Value Unit Value Unit (hours) Value Unit Value Unit (hh:mm) Activation

ex Morphine Morp1 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) PCA 24 2 mg 75 mg 0:15 Yes

27 NTG NTG 30 30 mg 30 mL 1 mg/mL Perfusor Space (Syringe Pump) STANDARD

28 ISDN ISDN 20 20 mg 50 mL 0.4 mg/mL Perfusor Space (Syringe Pump) STANDARD

29 ISDN ISDN 30 30 mg 50 mL 0.6 mg/mL Perfusor Space (Syringe Pump) STANDARD

30 MGSO4 SM_PEB 10 g 25 mL 0.4 g/mL Perfusor Space (Syringe Pump) STANDARD

31 #DIV/0! /
32 #DIV/0! /
33 #DIV/0! /
34 #DIV/0! /
35 #DIV/0! /
36 #DIV/0! /
37 #DIV/0! /
38 #DIV/0! /
39 #DIV/0! /
40 #DIV/0! /
41 #DIV/0! /
 : please select one
This drug has been confirmed to be used in our Hospital / ward.
Hospital Name : RSUD CILACAP
: filled manually Technicians will make the program based on this data and not User Name : Bpk. Tupar H.
responsible for the data contents.
Drug Library for Space Pump : filled automatically

Profile PCA only

Amount of Active
Filling Volume Concentration Dose Mode
Short Name Substance Time Bolus Limit Lockout
No Drug Name Pump Type Profile
(max. 7 characters) Frame
Value Unit Value Unit Value Unit (hours) Value Unit Value Unit (hh:mm) Activation U

ex Morphine Morp1 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) PCA 24 2 mg 75 mg 0:15 Yes m

ex Dobutamine Dobu5 250 mg 50 mL 5 mg/mL Infusomat Space (Infusion Pump) STANDARD Yes g/k

ex Propofol Prop 0 0 #DIV/0! / Perfusor Space (Syringe Pump) TCI No

ex Adrenalin Adre1 1 mg 50 mL 0.02 mg/mL Perfusor Space (Syringe Pump) STANDARD Yes g/k

ex Fentanyl Fenta2 100 g 50 mL 2 g/mL Perfusor Space (Syringe Pump) PCA 4 5 mL 20 mL 0:20 No

1 Dopamin DOPA200 200 mg 50 mL 4 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

2 ISDN ISDN 10 10 mg 50 mL 0.2 mg/mL Perfusor Space (Syringe Pump) STANDARD g

3 Noreprineprin NORE 4 4 mg 50 mL 0.08 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

4 Nicardipin NICARDIO 10 mg 50 mL 0.2 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

5 MGSO4 SM_TTNS 10 g 25 mL 0.4 g/mL Perfusor Space (Syringe Pump) STANDARD g/2

6 Insulin INSUL50 50 U 50 mL 1 Perfusor Space (Syringe Pump) STANDARD Iu

7 NTG NTG 10 10 mg 50 mL 0.2 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

8 Furosemide FUROSE2 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) STANDARD mg

9 Tramadol TRAMAD2 100 mg 20 mL 5 mg/mL Perfusor Space (Syringe Pump) STANDARD mg/

10 Diltiazem DILTI50 50 mg 50 mL 1 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

11 Midazolam MIDAZ15 15 mg 20 mL 0.75 mg/mL Perfusor Space (Syringe Pump) STANDARD mg

 : please select one
This drug has been confirmed to be used in our Hospital / ward.
Hospital Name : RSUD CILACAP
: filled manually Technicians will make the program based on this data and not User Name : Bpk. Tupar H.
responsible for the data contents.
Drug Library for Space Pump : filled automatically

Profile PCA only

Amount of Active
Filling Volume Concentration Dose Mode
Short Name Substance Time Bolus Limit Lockout
No Drug Name Pump Type Profile
(max. 7 characters) Frame
Value Unit Value Unit Value Unit (hours) Value Unit Value Unit (hh:mm) Activation U

ex Morphine Morp1 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) PCA 24 2 mg 75 mg 0:15 Yes m

12 Aminophilin AMINO10 240 mg 20 mL 12 mg/mL Perfusor Space (Syringe Pump) STANDARD mg

13 Daizepam DIAZ 2 10 mg 20 mL 0.5 mg/mL Perfusor Space (Syringe Pump) STANDARD mg

14 Catapres CATAP1 150 mg 20 mL 7.5 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

15 Heparin HEPARIN 10 kU 50 mL 0.2 kU/mL Perfusor Space (Syringe Pump) STANDARD Iu/k

16 Amiodaron AMIO50 150 mg 50 mL 3 mg/mL Perfusor Space (Syringe Pump) STANDARD mg

17 Dobutamin DOBU250 250 mg 50 mL 5 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

18 Dopamin Dopa400 400 mg 50 mL 8 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

19 Dopamin Dopa600 600 mg 50 mL 12 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

20 Dobutamin Dobu500 500 mg 50 mL 10 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

21 Dobutamin Dobu750 750 mg 50 mL 15 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

22 Noreprineprin NORE 8 8 mg 50 mL 0.16 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

23 Noreprineprin NORE 12 12 mg 50 mL 0.24 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

24 Nicardipin NICAR20 20 mg 50 mL 0.4 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

25 Nicardipin NICAR30 30 mg 50 mL 0.6 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

26 NTG NTG 20 20 mg 50 mL 0.4 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k
 : please select one
This drug has been confirmed to be used in our Hospital / ward.
Hospital Name : RSUD CILACAP
: filled manually Technicians will make the program based on this data and not User Name : Bpk. Tupar H.
responsible for the data contents.
Drug Library for Space Pump : filled automatically

Profile PCA only

Amount of Active
Filling Volume Concentration Dose Mode
Short Name Substance Time Bolus Limit Lockout
No Drug Name Pump Type Profile
(max. 7 characters) Frame
Value Unit Value Unit Value Unit (hours) Value Unit Value Unit (hh:mm) Activation U

ex Morphine Morp1 20 mg 20 mL 1 mg/mL Perfusor Space (Syringe Pump) PCA 24 2 mg 75 mg 0:15 Yes m

27 NTG NTG 30 30 mg 30 mL 1 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

28 ISDN ISDN 20 20 mg 50 mL 0.4 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

29 ISDN ISDN 30 30 mg 50 mL 0.6 mg/mL Perfusor Space (Syringe Pump) STANDARD g/k

30 MGSO4 SM_PEB 10 g 25 mL 0.4 g/mL Perfusor Space (Syringe Pump) STANDARD gr

31 #DIV/0! /
32 #DIV/0! /
33 #DIV/0! /
34 #DIV/0! /
35 #DIV/0! /
36 #DIV/0! /
37 #DIV/0! /
38 #DIV/0! /
39 #DIV/0! /
40 #DIV/0! /
41 #DIV/0! /
 1. Isi nama Rumah Sakit dan nama user yang membuat Daftar Obat ini &
pd "please sign here" apabila sudah selesai sebagai bukti konfirmasi

2. Isikan nama obat yang akan dimasukkan ke dalam pump

Pilih terapi profil

Sediaan Obat: yg diterapkan
- Value diisi manual (standard, TCI,
Konsentrasi Obat PCA, SGC)
Diisikan Nama - Unit harus pilih salah (terisi otomatis)
Generik Obat nya satu dari yg ada

Short Amount of
Filling Concentratio
Name Active
Drug Volume n Pump
No (max. 7 Substance
Name Type
character
s) Value Unit Value Unit Value Unit

Perfusor
Space
ex Morphine Morp1 20 mg 20 mL 1 mg/mL
(Syringe
Pump)

Diisikan Nama Obat

Singkatan Volume Obat /
Pengenceran: Pilih pump yg
- Value diisi manual digunakan, syringe
- Unit harus pilih salah satu pump atau infus pump
dari yg ada

3. Untuk tambahan parameter pada profil PCA

Bolus: Berapa banyak volume yg diberikan pada saat pasien

menekan tombol PCA Kit
- Value dapat dirubah pada pump
- Unit: harus pilih sesuai dg pilihan yg ada

Profile PCA only Lockout: Jeda waktu obat yg

dapat diberikan antara Bolus 1
dan Bolus 2.
Diisikan dalam bentuk HH:MM
 Lockout: Jeda waktu obat yg
dapat diberikan antara Bolus 1
Lock dan Bolus 2.
Bolus Limit
Time out Diisikan dalam bentuk HH:MM
Frame
(hours) (hh:
Value Unit Value Unit
mm)
24 2 mg 75 mg 0:15

Time Frame:
kerangka waktu
terapi. Limit: Batasan berapa banyak jumlah obat
Diisikan manual yg dapat diberikan ke pasien dalam kurun
dalam bentuk xx waktu tertentu (time Frame) .
jam. - Value dapat dirubah pada pump
- Unit: harus pilih sesuai dg pilihan yg ada
buat Daftar Obat ini & tandatangani
i bukti konfirmasi

m pump

Pilih terapi profil

yg diterapkan
(standard, TCI,
PCA, SGC) Diisi khusus untuk obat yg
digunakan pada terapi PCA Diisikan nama ward

Profile PCA only

Dose Mode (ex:
Time Bolus Limit Lockout g/kg/min) Ward
Profile Status
Frame Name
(hours) Value Unit Value Unit (hh:mm) Activation Unit

NEED TO
BE
PCA 24 2 mg 75 mg 0:15 Yes ICU
CONFIRM
ED

Pilih pump yg
digunakan, syringe Dose Mode: Perhitungan dosis
pump atau infus pump obat secara otomatis dgn
memasukkan paramater lain spt
berat badan pasien.
-Activation: pilih Yes atau No
- Unit: mohon masukkan sesuai
dgn kebutuhan

out: Jeda waktu obat yg

t diberikan antara Bolus 1
Bolus 2.
an dalam bentuk HH:MM
out: Jeda waktu obat yg
t diberikan antara Bolus 1
Bolus 2.
an dalam bentuk HH:MM
 Pilih status:
- Confirmed (sudah pasti & tidak
ada perubahan)
- Need to be confirmed (masih
ada yg berubah)