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  • Formulir Monitoring Obat Emergency

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    Halida Fietriia
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    This document is a form for monitoring emergency medicines at a community health center in Wolio. It lists 14 types of medicines and injections including lidocaine, oxytocin, dextrose, sodium chloride, ringer's lactate, epinephrine, diazepam, dexamethasone, magnesium sulfate, and intravenous catheters. For each medicine it tracks the stock quantity, amount used, expiration date, and required follow up action. The form is to be filled out each month and year and signed by the head of the pharmacy and the head of the health center.

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    This document is a form for monitoring emergency medicines at a community health center in Wolio. It lists 14 types of medicines and injections including lidocaine, oxytocin, dextrose, sodium chloride, ringer's lactate, epinephrine, diazepam, dexamethasone, magnesium sulfate, and intravenous catheters. For each medicine it tracks the stock quantity, amount used, expiration date, and required follow up action. The form is to be filled out each month and year and signed by the head of the pharmacy and the head of the health center.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    432 views1 page

    Formulir Monitoring Obat Emergency

    Uploaded by

    Halida Fietriia
    This document is a form for monitoring emergency medicines at a community health center in Wolio. It lists 14 types of medicines and injections including lidocaine, oxytocin, dextrose, sodium chloride, ringer's lactate, epinephrine, diazepam, dexamethasone, magnesium sulfate, and intravenous catheters. For each medicine it tracks the stock quantity, amount used, expiration date, and required follow up action. The form is to be filled out each month and year and signed by the head of the pharmacy and the head of the health center.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    FORMULIR MONITORING OBAT EMERGENCY

    DI PUSKESMAS WOLIO

    BULAN :

    TAHUN :

    NO. NAMA OBAT JUMLAH JUMLAH TANGGAL TINDAK LANUT


    STOK PEMAKAIAN EXP.DATE
    OBAT
    1. Lidokai 2% Injeksi
    2. Lidokain Kompositum
    Injeksi
    3. Oksitosin Injeksi
    4. Dextrose infuse 5 %

    5. Natrium Klorida infuse


    0,9 %
    6. Ringer Laktat Infus

    7. Epinefrin ( adrenalin )
    injeksi 0,1 %
    8. Diazepam Injeksi
    9. Dexamahtasone Inj
    10. MgSO4 20%
    11. MgSO4 40 %
    12. Infuset Dewasa
    13. IV. Catheter No 20
    14. IV. Catheter No 22

    Penanggung Jawab Kepala Puskesmas Wolio


    Gudang Obat

    Fifiyanti, S.Si, Apt dr. Wa Ode Aziza Amalia Izat


    NIP. 19850305 201101 2 02O NIP. 19810402 200904 2 001

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