PENGECEKAN TROLI ZONA PINUS

UNIT :
TANGGAL:

NO NAMA JUMLAH ED KET

1 OBAT- OBATAN
EPINEPRIN 3
AMINOPHYLIN 3
DEXAMETASONE 3
FUROSEMID 3
CA GLUKONAS 1
ATROPINE SULFAT 3
LIDOCAIN 3
DIAZEPAM 1
D40% 1
2 CAIRAN
CAIRAN INFUS RINGER LAKTAT 500 ML 2
NACL 0,9% 500 ML 2
D5% 500 ML 1
NACL 3 % 1
D5% 100 ML 1
NACL 0,9% 100 ML 2
AQUABIDES 25 ML 2
3 BHP
INFLO 18 3
INFLO 20 3
INFLO 22 3
INFLO 24 3
SPUIT 3CC 3
SPUIT 5CC 3
SPUIT 10CC 3
SPUIT 20CC 1
SPUIT 50CC LUBANG PINGGIR 1
SPUIT 50CC LUBANG TENGAH 1
TRANFUSI SET 3
FOLEY CHAT NO 16 2W 2
FOLEY CHAT NO 18 2W 2
FOLEY CHAT NO 22 3W 1
FOLEY CHAT NO 24 3W 1
NGT NO 16 2
NASAL CANUL 3
NRM 3
ET NO 6 1
ET NO 7 1
URIN BAG 3
INFUSET 3
SUCCTION CHAT NO 16 2
PENGECEKAN TROLI ZONA MERANTI
UNIT :
TANGGAL:

NO NAMA JUMLAH ED KET

1 OBAT- OBATAN
EPINEPRIN 3
AMINOPHYLIN 3
DEXAMETASONE 3
FUROSEMID 3
CA GLUKONAS 1
ATROPINE SULFAT 3
LIDOCAIN 3
DIAZEPAM 1
D40% 1
2 CAIRAN
CAIRAN INFUS RINGER LAKTAT 500 ML 2
NACL 0,9% 500 ML 2
D5% 500 ML 1
NACL 3 % 1
D5% 100 ML 1
NACL 0,9% 100 ML 2
AQUABIDES 25 ML 2
3 BHP
INFLO 18 3
INFLO 20 3
INFLO 22 3
INFLO 24 3
SPUIT 3CC 3
SPUIT 5CC 3
SPUIT 10CC 3
SPUIT 20CC 1
SPUIT 50CC LUBANG PINGGIR 1
SPUIT 50CC LUBANG TENGAH 1
TRANFUSI SET 3
FOLEY CHAT NO 16 2W 2
FOLEY CHAT NO 18 2W 2
FOLEY CHAT NO 22 3W 1
FOLEY CHAT NO 24 3W 1
NGT NO 16 2
NASAL CANUL 3
NRM 3
ET NO 6 1
ET NO 7 1
URIN BAG 3
INFUSET 3
SUCCTION CHAT NO 16 2
PENGECEKAN TROLI ZONA EBONI
UNIT :
TANGGAL:
NO NAMA JUMLAH ED KET
1 OBAT- OBATAN
EPINEPRIN 3
AMINOPHYLIN 3
DEXAMETASONE 3
FUROSEMID 3
CA GLUKONAS 1
ATROPINE SULFAT 3
LIDOCAIN 3
DIAZEPAM 1
D40% 1
2 CAIRAN
CAIRAN INFUS RINGER LAKTAT 500 ML 2
NACL 0,9% 500 ML 2
D5% 500 ML 1
NACL 3 % 1
D5% 100 ML 1
NACL 0,9% 100 ML 2
AQUABIDES 25 ML 2
3 BHP
INFLO 18 3
INFLO 20 3
INFLO 22 3
INFLO 24 3
SPUIT 3CC 3
SPUIT 5CC 3
SPUIT 10CC 3
SPUIT 20CC 1
SPUIT 50CC LUBANG PINGGIR 1
SPUIT 50CC LUBANG TENGAH 1
TRANFUSI SET 3
FOLEY CHAT NO 16 2W 2
FOLEY CHAT NO 18 2W 2
FOLEY CHAT NO 22 3W 1
FOLEY CHAT NO 24 3W 1
NGT NO 16 2
NASAL CANUL 3
NRM 3
ET NO 6 1
ET NO 7 1
URIN BAG 3
INFUSET 3
SUCCTION CHAT NO 16 2
PENGECEKAN TROLI ZONA 1
UNIT :
TANGGAL:

NO NAMA JUMLAH ED KET

1 OBAT- OBATAN
 EPINEPRIN 3
AMINOPHYLIN 3
DEXAMETASONE 3
FUROSEMID 3
CA GLUKONAS 1
ATROPINE SULFAT 3
LIDOCAIN 3
DIAZEPAM 1
D40% 1
2 CAIRAN
CAIRAN INFUS RINGER LAKTAT 500 ML 2
NACL 0,9% 500 ML 2
D5% 500 ML 1
NACL 3 % 1
D5% 100 ML 1
NACL 0,9% 100 ML 2
AQUABIDES 25 ML 2
3 BHP
INFLO 18 3
INFLO 20 3
INFLO 22 3
INFLO 24 3
SPUIT 3CC 3
SPUIT 5CC 3
SPUIT 10CC 3
SPUIT 20CC 1
SPUIT 50CC LUBANG PINGGIR 1
SPUIT 50CC LUBANG TENGAH 1
TRANFUSI SET 3
FOLEY CHAT NO 16 2W 2
FOLEY CHAT NO 18 2W 2
FOLEY CHAT NO 22 3W 1
FOLEY CHAT NO 24 3W 1
NGT NO 16 2
NASAL CANUL 3
NRM 3
ET NO 6 1
ET NO 7 1
URIN BAG 3
INFUSET 3
SUCCTION CHAT NO 16 2
PENGECEKAN TROLI ZONA ZONA 2
UNIT :
TANGGAL:

NO NAMA JUMLAH ED KET

1 OBAT- OBATAN
EPINEPRIN 3
 AMINOPHYLIN 3
DEXAMETASONE 3
FUROSEMID 3
CA GLUKONAS 1
ATROPINE SULFAT 3
LIDOCAIN 3
DIAZEPAM 1
D40% 1
2 CAIRAN
CAIRAN INFUS RINGER LAKTAT 500 ML 2
NACL 0,9% 500 ML 2
D5% 500 ML 1
NACL 3 % 1
D5% 100 ML 1
NACL 0,9% 100 ML 2
AQUABIDES 25 ML 2
3 BHP
INFLO 18 3
INFLO 20 3
INFLO 22 3
INFLO 24 3
SPUIT 3CC 3
SPUIT 5CC 3
SPUIT 10CC 3
SPUIT 20CC 1
SPUIT 50CC LUBANG PINGGIR 1
SPUIT 50CC LUBANG TENGAH 1
TRANFUSI SET 3
FOLEY CHAT NO 16 2W 2
FOLEY CHAT NO 18 2W 2
FOLEY CHAT NO 22 3W 1
FOLEY CHAT NO 24 3W 1
NGT NO 16 2
NASAL CANUL 3
NRM 3
ET NO 6 1
ET NO 7 1
URIN BAG 3
INFUSET 3
SUCCTION CHAT NO 16 2
PENGECEKAN TROLI ZONA ICU
UNIT :
TANGGAL:

NO NAMA JUMLAH ED KET

1 OBAT- OBATAN
EPINEPRIN 3
AMINOPHYLIN 3
 DEXAMETASONE 3
FUROSEMID 3
CA GLUKONAS 1
ATROPINE SULFAT 3
LIDOCAIN 3
DIAZEPAM 1
D40% 1
2 CAIRAN
CAIRAN INFUS RINGER LAKTAT 500 ML 2
NACL 0,9% 500 ML 2
D5% 500 ML 1
NACL 3 % 1
D5% 100 ML 1
NACL 0,9% 100 ML 2
AQUABIDES 25 ML 2
3 BHP
INFLO 18 3
INFLO 20 3
INFLO 22 3
INFLO 24 3
SPUIT 3CC 3
SPUIT 5CC 3
SPUIT 10CC 3
SPUIT 20CC 1
SPUIT 50CC LUBANG PINGGIR 1
SPUIT 50CC LUBANG TENGAH 1
TRANFUSI SET 3
FOLEY CHAT NO 16 2W 2
FOLEY CHAT NO 18 2W 2
FOLEY CHAT NO 22 3W 1
FOLEY CHAT NO 24 3W 1
NGT NO 16 2
NASAL CANUL 3
NRM 3
ET NO 6 1
ET NO 7 1
URIN BAG 3
INFUSET 3
SUCCTION CHAT NO 16 2
PENGECEKAN TROLI ZONA ICU ISO
UNIT :
TANGGAL:

NO NAMA JUMLAH ED KET

1 OBAT- OBATAN
EPINEPRIN 3
AMINOPHYLIN 3
DEXAMETASONE 3
 FUROSEMID 3
CA GLUKONAS 1
ATROPINE SULFAT 3
LIDOCAIN 3
DIAZEPAM 1
D40% 1
2 CAIRAN
CAIRAN INFUS RINGER LAKTAT 500 ML 2
NACL 0,9% 500 ML 2
D5% 500 ML 1
NACL 3 % 1
D5% 100 ML 1
NACL 0,9% 100 ML 2
AQUABIDES 25 ML 2
3 BHP
INFLO 18 3
INFLO 20 3
INFLO 22 3
INFLO 24 3
SPUIT 3CC 3
SPUIT 5CC 3
SPUIT 10CC 3
SPUIT 20CC 1
SPUIT 50CC LUBANG PINGGIR 1
SPUIT 50CC LUBANG TENGAH 1
TRANFUSI SET 3
FOLEY CHAT NO 16 2W 2
FOLEY CHAT NO 18 2W 2
FOLEY CHAT NO 22 3W 1
FOLEY CHAT NO 24 3W 1
NGT NO 16 2
NASAL CANUL 3
NRM 3
ET NO 6 1
ET NO 7 1
URIN BAG 3
INFUSET 3
SUCCTION CHAT NO 16 2