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CEKLIST KETERSEDIAAN OBAT EMERGENSI

Hari / Tgl :

POLI / UNIT LAYANAN


NO DAFTAR OBAT
PONED BP IRNA GIGI KIA UGD
1 Aminophilin injeksi
2 Diazepam Injeksi
3 Ephineprhin injkesi
4 Lidocain injeksi
5 Methilgometrin Injeksi
6 Magnesium Sulfat Injeksi
7 Oksitosin Injeksi
8 Fitomenadion Injeksi (vit K)
9 Ringer Lactat Infus
10 Glucosa 5%
11 Dhipenhidramin Injeksi
12 Dexametason Injeksi
13 Ethyl Chlorida spray
14 Furosemid Injeksi
15 NaCl 0.9 %

Paraf Petugas,

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