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Pengajuan Obat - obatan

Tim Medis
Mekarsari 3 mei 2019
1. Adrenalin injeksi (2 ampul)
1. ISDN 5mg = 5 strip 2. Dexametasone injeksi (2 ampul)
2. Aspilet 80 mg = 5 strip 3. Diazepam injeksi (1 ampul)
3. Captopril 12,5mg = 5 strip 4. Diphenhidramine injeksi (3 ampul)
4. Paracetamol tab = 20 strip 5. Lidocain injeksi (4 ampul)
5. Asam Mefenamat = 20 strip 6. Aminophiline injeksi (2 ampul)
6. Antasida tab = 20 strip 7. Vitamin K injeksi (2 ampul)
7. Ranitidin tab = 15 strip 8. Aquadest (2 flakon)
8. Dexametason tab = 5 strip 9. Jarum suntik dan spuit 1cc, 3cc dan 5
cc (masing-masing 5 bh)
10. Cairan infus RL, Nacl, Dextrose 5%,
Dextrose 40% (masing-masing 2
botol)
11. Abocath No 20, 22 dan 24 (masing-
masing 4 bh)
12. Set infus makro dan mikro (masing-
masing 3 bh)
13. Tabung Oksige ( 2 tabung)
14. Tensimeter, stetoscop
15. Masker O2 kanul & masker (masing-
masing 2)

Mengetahui

Siti Fatmawati, S.apt


Dr. Zainal Abidin

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