LAPORAN PEMAKAIAN OBAT – ALKES di IBS

PAKET : ....................................................
Nama : No Reg : L/P
Tanggal : Ruang : Kls :
No ALKES Jumlah No Obat-obatan Jumlah
1 Alkohol 70% 1 Anesfar inj
2 Aquabidestilata 25 ml / 1 L 2 Ecron inj
3 Bisturi No : 3 Fentanyl inj
4 Blood Set 4 Fresofol inj
5 Cateter Tip 5 Ketamin inj
6 Catgut Chromic HR Assut Tap No: 6 Neostigmin inj
7 Catgut Chromic TS Assut Cut No: 7 Nokoba / Naloxon inj
8 Catgut Plain : 8 Pethidin inj
9 Daryantule 9 Sulfas Atropin (SA) inj
10 Disposible Spuit 1 cc 10 Tracium inj
11 Disposible Spuit 20 cc 11 Marcaine 0,5% inj
12 Disposible Spuit 3 / 5 / 10 cc 12 Lidocaine 2% inj
13 ETT No : 13 Catapres inj
14 Folley Cateter Two Way 14 Morfin inj
15 Folley Cateter Thre Way 15 Ephedrin inj
16 Gudel No : 16 Myomergin inj
17 Gypsona 3’ / 4’ / 6’ 17 Pitogyn inj
18 H2O2 18 Asam traneksamat 250 mg inj
19 Hand Schoen No : 6 / 6½ / 7 / 7½ / 8 19 Ondancentron 4 mg inj
20 Hypavic 20 Granicentron 1ml
21 Iodin Povidon 21 E-Some inj
22 Leukokrepe (Elastic Verb) 3’ / 4’ / 6’ 22 Dexketoprofen inj
23 LMA No : 23 Ketorolac 30 mg inj
24 Nasal Canul O2 Bayi/Anak/Dewasa 24 Tramadol 100 mg inj
25 NGT No : 25 Dexsametason inj
26 Pisau Graft 26 Paracetamol Infus
27 Polypropylene MESS 10 x 10 / 7 x 7 27 Ceftriaxon 1 gr inj
28 Polypropylene TS Assut Cut No : 28 Epineprin inj
29 Polypropylene HR Assut Taper No : 29 Extrace inj
30 Quicky Drain Suction 500 cc 30 Vit K inj
31 Silk HR Sachet Assut Taper No : 31 Ranitidin inj
32 Silk TS Sachet Assut Cut No : 32 Fetic Supositoria
33 Sircuit Anestesi 33 Procaine Penicilin inj
34 Softband 3’ / 4’ / 6’ 34 Kemicetin zalf kulit
35 Spinocaine No : 25 / 27 35 Kemicetin zalf mata
36 Suction Cateter No : 36 Hypobak inj
37 Tegaderm / OPSITE (kecil/sedang/besar) 37
38 Urine Bag CAIRAN
39 Vasofix No : 1 Ringer Lactat / RL
40 Vicril / Assucryl No : 2 Asering
41 Xylocain jelly 5% / Cathejell 3 NaCl 0,9 % 500 ml
42 Handschoen Kebidanan No : 4 NaCl 0,9 % 3 Liter
43 APD SET 5 Futrolit
44 Suction Line Bag 2 L 6 HES 6%
45 Suction Conecting Tube With Yanker 7
46 Incifilm 28 x 45 / 45 x 55 / 56 x 84 8
47 Pisau Cukur Bedah Disp 9
48 Masker Tali GAS
49 Tutup Kepala Disposibel 1 Isoflurane
50 Arde Plate Ground 2 Sevoflurane
51 Electro Surgical Pensil 3 N2O
52 Electroda 4 Oksigen
53 X-RAY C-ARM 5