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YEAR MONTH CRASH CART (1#) MEDICATION LIST (ADULT)

ADULT
2021 NOVEMBER
SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
QUANTITY
No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADENOSINE 6MG/2ML 6 31 - Dec - 22
2 ADRENALINE 1MG/ML (1:1000) 20 31 - Aug - 23
3 AMINOPHYLLINE 25MG/ML 4 31 - Jan - 24
4 AMIODARONE 0.5MG/ML 5 31 - Aug - 22
5 ATROPINE 0.5MG/ML 20 28 - Feb - 23
6 CALCIUM GLUCONATE 10% 4 31 - Jan - 23
7 CALCIUM CHLORIDE 10% 4 31 - Dec - 22
8 DEXTROSE 50% W/V SOLUTION 4 24 - Sep - 22
9 DEXTROSE 5% W/V SOLUTION 2 02 - May - 25
10 DIGOXIN 0.5MG/2ML 4 31 - Jan - 23
11
DOBUTAMINE HCL 4 30 - Sep - 22
250MG/5ML
12 DOPAMINE 200MG/5ML 4 30 - Nov - 22
13 FUROSEMIDE 20MG/2ML 5 31 - Mar - 23
14 HEPARIN SOLUTION 5000IU/ML 4 11 - Feb - 23
15 HYDRALAZINE 20MG 4 31 - Oct - 22
16 HYDROCORTISONE 100MG 10 28 - Feb - 23
17 ISOPRENALINE 0.2MG/ML --- ---
18 LACTATED RINGER 500ML 2 08 - Nov - 24
19 LIDOCAINE 2% 5 10 - Jun - 24
20
MAGNESIUM SULPHATE 10% 5 31 - Jul - 23
(0.8mEqs/ML)
21 MANNITOL 20% W/V 250ML 2 02 - May - 24
22 NALOXONE 0.4MG/ML 4 30 - Sep - 23
23
NITROGLYCERINE 4 31 - Oct - 23
10MG/10ML
24 NORADRENALINE 4MG/ML 4 30 - Sep - 22
25 0.9% W/V NORMAL SALINE 500ML 4 26 - May - 26
26 PHENYTOIN 250MG/5ML 4 31 - May - 22
27 POTASSIUM CHLORIDE 2mEqs/ml 4 30 - Mar - 23
28 SODIUM BICARBONATE 8.4% 50ML 4 05 - May - 23
29 VERAPAMIL 5MG/2ML 3 31 - May - 23
30 WATER FOR INJECTION (500ML) 10 31 - Jan - 23

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:
YEAR MONTH CRASH CART (2#) MEDICATION LIST (PEDIA)
PEDIA
2021 NOVEMBER
SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
QUANTITY
No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADENOSINE 6MG/2ML 6 31 - Dec - 22
2 ADRENALINE 1MG/ML (1:1000) 20 31 - Aug - 23
3 AMINOPHYLLINE 25MG/ML 4 31 - Jan - 24
4 AMIODARONE 0.5MG/ML 5 31 - Aug - 22
5 ATROPINE 0.5MG/ML 20 28 - Feb - 23
6 CALCIUM GLUCONATE 10% 4 31 - Jan - 23
7 CALCIUM CHLORIDE 10% 4 31 - Dec - 22
8 DEXTROSE 50% W/V SOLUTION 4 24 - Sep - 22
9 DEXTROSE 5% W/V SOLUTION 2 07 - Sep - 24
10 DIGOXIN 0.5MG/2ML 4 31 - Jan - 23
11
DOBUTAMINE HCL 4 30 - Sep - 22
250MG/5ML
12 DOPAMINE 200MG/5ML 4 30 - Nov - 22
13 FUROSEMIDE 20MG/2ML 5 31 - Mar - 23
14 HEPARIN SOLUTION 5000IU/ML 4 11 - Feb - 23
15 HYDRALAZINE 20MG 4 31 - Oct - 22
16 HYDROCORTISONE 100MG 10 28 - Feb - 23
17 ISOPRENALINE 0.2MG/ML --- ---
18 LACTATED RINGER 500ML 2 08 - Nov - 24
19 LIDOCAINE 2% 5 10 - Jun - 24
20 MAGNESIUM SULPHATE 5 31 - Jul - 23
21
MAGNESIUM SULPHATE 10% 2 04 - Jun - 25
(0.8mEqs/ML)
22 NALOXONE 0.4MG/ML 2 30 - Sep - 23
23
NITROGLYCERINE 4 31 - Oct - 23
10MG/10ML
24 NORADRENALINE 4MG/ML 4 30 - Sep - 22
25 0.9% W/V NORMAL SALINE 500ML 4 26 - May - 26
26 PHENYTOIN 250MG/5ML 4 31 - May - 22
27 POTASSIUM CHLORIDE 2mEqs/ml 4 30 - Apr - 23
28 SODIUM BICARBONATE 8.4% 50ML 4 05 - May - 23
29 VERAPAMIL 5MG/2ML 3 31 - May - 23
30 WATER FOR INJECTION 10 31 - Jan - 23

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:
YEAR MONTH CRASH CART MEDICATION LIST (CPR)
CPR
2021 NOVEMBER
SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
QUANTITY
No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADENOSINE 6MG/2ML 6 31 - Dec - 22
2 ADRENALINE 1MG/ML (1:1000) 20 31 - Jul - 23
3 AMINOPHYLLINE 25MG/ML 4 31 - Jan - 24
4 AMIODARONE 0.5MG/ML 5 31 - Aug - 22
5 ATROPINE 0.5MG/ML 20 28 - Feb - 23
6 CALCIUM GLUCONATE 10% 4 30 - Apr - 23
7 CALCIUM CHLORIDE 10% 4 31 - Dec - 22
8 DEXTROSE 50% W/V SOLUTION 4 24 - Sep - 22
9 DEXTROSE 5% W/V SOLUTION 2 15 - Mar - 25
10 DIGOXIN 0.5MG/2ML 4 31 - Jan - 23
11
DOBUTAMINE HCL 4 30 - Sep - 22
250MG/5ML
12 DOPAMINE 200MG/5ML 4 30 - Nov - 22
13 FUROSEMIDE 20MG/2ML 5 31 - Mar - 23
14 HEPARIN SOLUTION 5000IU/ML 4 11 - Feb - 23
15 HYDRALAZINE 20MG 4 31 - Oct - 22
16 HYDROCORTISONE 100MG 10 28 - Feb - 23
17 ISOPRENALINE 0.2MG/ML --- ---
18 LACTATED RINGER 500ML 2 28 - Jul - 25
19 LIDOCAINE 2% 5 05 - Mar - 23
20
MAGNESIUM SULPHATE 10% 5 31 - Jul - 23
(0.8mEqs/ML)
21 MANNITOL 20% W/V 250ML 2 02 - May - 24
22 NALOXONE 0.4MG/ML 2 30 - Sep - 23
23
NITROGLYCERINE 4 31 - May - 23
10MG/10ML
24 NORADRENALINE 4MG/ML 4 30 - Sep - 22
25 0.9% W/V NORMAL SALINE 500ML 4 25 - Nov - 26
26 PHENYTOIN 250MG/5ML 4 31 - May - 22
27 POTASSIUM CHLORIDE 2mEqs/ml 4 31 - Aug - 23
28 SODIUM BICARBONATE 8.4% INJ 4 05 - May - 23
29 VERAPAMIL 5MG/2ML 4 05 - May - 23
30 WATER FOR INJECTION (500ML) 10 31 - Jan - 23

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:
YEAR MONTH CRASH CART MEDICATION LIST (DISASTER)
DISASTER
2022 MAY
SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
QUANTITY
No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADRENALINE 1:1000 INJ. 40 31 - Aug - 23
2 ATROPINE 0.5MG/ML INJ. 40 27 - Feb - 23
3 CALCIUM CHLORIDE 10% INJ. 7 31 - Dec - 22
4 CALCIUM GLUCONATE 10%INJ. 10 31 - Jan - 23
5 CHLORPHENAMINE 10MG INJ. 10 31 - Oct - 22
6 DICLOFENAC SODIUM 75MG INJ. 30 28 - Feb - 23
7 DIGOXIN 0.5MG INJ. 10 31 - Jan - 23
8 DOBUTAMINE HCL 250MG INJ. 5 30 - Sep - 22
9 DOPAMINE 200MG INJ. 7 31 - Jan - 23
10 FUROSEMIDE 20MG INJ. 20 31 - May - 23
11
HEPARIN SODIUM 5000 5 11 - Feb - 23
INTERNATIONAL UNIT INJ.
12 HYDROCORTISONE 100MG INJ. 20 31 - May - 24
13 HYOSCINE BROMIDE 20MG INJ. 20 31 - Mar - 23
14 METOCLOPROMIDE 10MG INJ. 10 31-11-23
15 NEOSTIGMINE 0.5MG INJ. 10 30 - Apr - 23
16 NITROGLYCERINE PATCH 10 31 - Oct - 22
17 NORADRENALINE 4MG INJ. 10 30 - Sep - 22
18 PHYTOMETHADIONE 2MG INJ. 10 31 - Jan - 23
19 PROPANOLOL 1MG INJ. 10 30 - Jun - 22
20 POVIDONE IODINE SOLUTION 2 30 - Jun - 22
21 SILVER SULPHADIAZINE CREAM 2 31 - May - 22
22 SODIUM BICARBONATE 8.4% INJ 5 05 - May - 23
23 VERAPAMIL 5MG INJ. 5 30 - Sep - 23
24 D5W 4 02 - May - 25
25 D10W 4 31 - Aug - 23
26 D25W 4 26 - Jan - 23
27 D50W 4 24 - Sep - 22
28 NSS 4 21 - Jul - 23
29 RINGER LACTATE SOLUTION 4 08 - Nov - 24
30 RINGER SOLUTION 4 31 - May - 24
31 WATER FOR INJECTION 4 18 - Feb - 25

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:
YEAR MONTH CRASH CART MEDICATION LIST (RADIOLOGY)
RADIOLOGY
2021 NOVEMBER
SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
QUANTITY
No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADENOSINE 6MG/2ML 6 31 - Dec - 22
2 ADRENALINE 1MG/ML (1:1000) 20 30 - Aug - 23
3 AMINOPHYLLINE 25MG/ML 4 31 - Jul - 22
4 AMIODARONE 0.5MG/ML 5 31 - Aug - 22
5 ATROPINE 0.5MG/ML 20 28 - Feb - 23
6 CALCIUM GLUCONATE 10% 4 31 - Jan - 23
7 CALCIUM CHLORIDE 10% 4 31 - Dec - 21
8 DEXTROSE 50% W/V SOLUTION 1 24 - Jul - 22
9 DEXTROSE 5% W/V SOLUTION 2 07 - Sep - 24
10 DIGOXIN 0.5MG/2ML 4 31 - Jan - 23
11
DOBUTAMINE HCL 4 31 - Dec - 21
250MG/5ML
12 DOPAMINE 200MG/5ML 4 31 - Jan - 23
13 FUROSEMIDE 20MG/2ML 5 30 - Jun - 22
14 HEPARINE SOLUTION 5000IU/ML 4 30 - Sep - 22
15 HYDRALAZINE 20MG 4 28 - Feb - 22
16 HYDROCORTISONE 100MG 10 31 - Jul - 23
17 ISOPRENALINE 0.2MG/ML 3 NA
18 LACTATED RINGER 500ML 2 20 - Jul - 22
19 LIDOCAINE 2% 5 09 - Jan - 23
20
MAGNESIUM SULPHATE 10% 5 28 - Feb - 22
(0.8mEqs/ML)
21 MANNITOL 20% W/V 250ML 2 02 - Jan - 22
22 NALOXONE 0.4MG/ML 2 30 - Sep - 23
23 NITROGLYCERINE 10MG/10ML 4 31 - Mar - 22
24 NORADRENALINE 4MG/ML 4 28 - Feb - 22
25 0.9% W/V NORMAL SALINE 500ML 4 06 - Feb - 23
26 PHENYTOIN 250MG/5ML 4 28 - Feb - 22
27 POTASSIUM CHLORIDE 2mEqs/ml 4 30 - Apr - 23
28 SODIUM BICARBONATE 8.4% 50ML 4 05 - May - 23
29 VERAPAMIL 5MG/2ML 4 28 - Feb - 22
30 WATER FOR INJECTION 10ML 10 31 - May - 22

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:
YEAR MONTH CRASH CART MEDICATION LIST (AB #1)
AMBU BAG 1
2021

QUANTITY Sat Sun Mon Tue Wed Thu Fri


No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADENOSINE 6MG/2ML 5 31 - Dec - 22
2 ADRENALINE 1MG/ML (1:1000) 20 31 - Aug - 23
3 AMINOPHYLLINE 25MG/ML 10 31 - Jan - 24
4 ATROPINE 0.5MG/ML 20 28 - Feb - 23
5 CALCIUM CHLORIDE 10% 5 31 - Jan - 23
6 CALCIUM GLUCONATE 10% 5 31 - Dec - 22
7 DEXAMETHASONE 4MG/ML 5 31 - Aug - 22
8 DEXTROSE 50% W/V SOLUTION 1 24 - Sep - 22
9 DICLOFENAC SODIUM 75MG 5 28 - Feb - 23
10 DIGOXIN 0.5MG/2ML 5 31 - Jan - 23
11 DOBUTAMINE HCL 250MG/5ML 5 30 - Sep - 22
12 DOPAMINE 200MG/5ML 5 31 - Jan - 23
13 FUROSEMIDE 20MG/2ML 10 30 - Sep - 23
14 HEPARIN SOLUTION 5000IU/ML 2 11 - Feb - 23
15 HYDRALAZINE 20MG 5 28 - Feb - 23
16 HYDROCORTISONE 100MG 10 28 - Feb - 23
17 HYOSCINE BROMIDE 20MG INJ. 15 30 - Jun - 22
18 ISOPRENALINE 0.2MG/ML 5 ---
19 LIDOCAINE 2% 2 10 - Jun - 24
20
MAGNESIUM SULPHATE 10% 5 31 - Jul - 23
(0.8mEqs/ML)
21 METOCLOPROMIDE 10MG INJ. 10 31 - Jan - 23
22 NEOSTIGMINE 0.5MG/ML INJ. 5 30 - Apr - 23
23 NITROGLYCERINE 50MG/10ML 5 31 - Oct - 23
24 NITROGLYCERINE 5MG PATCH 5 31 - Oct - 22
25 NORADRENALINE 8MG/4ML 5 30 - Sep - 22
26 PHENYTOIN 250MG/5ML 5 31 - May - 22
27 PHYTOMENADIONE 2MG INJ. 5 31 - Jan - 23
28 POTASSIUM CHLORIDE 2mEqs/ml 5 01 - Apr - 23
29 PROTAMINE SULFATE 10MG 5 28 - Feb - 23
30 PROPRANOLOL 1MG/ML INJ 5 30 - Jun - 22
31
POVIDONE IODINE W/V 10% 2 30 - Jun - 22
SOLUTION
32
SALBUTAMOL NEBULIZING 2 28 - Feb - 23
SOLUTION
33 SILVER SULPHADIAZINE CREAM 5 31 - May - 22
34 SODIUM BICARBONATE 8.4% 5 17 - May - 23
35 VERAPAMIL 5MG/2ML 5 30 - Sep - 23
36 WATER FOR INJECTION 10 31 - Jan - 23

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:
YEAR MONTH CRASH CART MEDICATION LIST (AB #2)
AMBU BAG 2
2021 OCTOBER

QUANTITY Sat Sun Mon Tue Wed Thu Fri


No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADENOSINE 6MG/2ML 5 31 - Dec - 22
2 ADRENALINE 1MG/ML (1:1000) 20 31 - Aug - 23
3 AMINOPHYLLINE 25MG/ML 5 31 - Jan - 24
4 ATROPINE 0.5MG/ML 20 28 - Feb - 23
5 CALCIUM CHLORIDE 10% 5 31 - Dec - 22
6 CALCIUM GLUCONATE 10% 5 31 - Jan - 23
7 DEXAMETHASONE 4MG/ML 5 30 - Apr - 24
8 DEXTROSE 50% W/V SOLUTION 1 24 - Sep - 22
9 DICLOFENAC SODIUM 75MG 5 28 - Feb - 23
10 DIGOXIN 0.5MG/2ML 5 31 - Jan - 23
11 DOBUTAMINE HCL 250MG/5ML 5 30 - Sep - 22
12 DOPAMINE 200MG/5ML 5 31 - Jan - 23
13 FUROSEMIDE 20MG/2ML 10 30 - Sep - 23
14 HEPARIN SOLUTION 5000IU/ML 2 30 - Sep - 22
15 HYDRALAZINE 20MG 5 28 - Feb - 23
16 HYDROCORTISONE 100MG 10 30 - May - 24
17 HYOSCINE BROMIDE 20MG INJ. 15 30 - Jun - 22
18 ISOPRENALINE 0.2MG/ML 5 ---
19 LIDOCAINE 2% 2 10 - Jun - 24
20
MAGNESIUM SULPHATE 10% 5 31 - Jul - 23
(0.8mEqs/ML)
21 METOCLOPROMIDE 10MG INJ. 10 31 - Jan - 23
22 NEOSTIGMINE 0.5MG/ML INJ. 5 30 - Sep - 23
23 NITROGLYCERINE 50MG/10ML 5 31 - Mar - 24
24 NITROGLYCERINE 5MG PATCH 5 31 - Oct - 22
25 NORADRENALINE 8MG/4ML 5 30 - Sep - 22
26 PHENYTOIN 250MG/5ML 5 31 - May - 22
27 PHYTOMENADIONE 2MG INJ. 5 31 - Jan - 23
28 POTASSIUM CHLORIDE 2mEqs/ml 5 30 - Apr - 23
29 PROTAMINE SULFATE 10MG 5 28 - Feb - 23
30 PROPRANOLOL 1MG/ML INJ 5 30 - Jun - 22
31
POVIDONE IODINE W/V 10% 2 30 - Jun - 22
SOLUTION
32
SALBUTAMOL NEBULIZING 2 28 - Feb - 23
SOLUTION
33 SILVER SULPHADIAZINE CREAM 5 31 - Jan - 24
34 SODIUM BICARBONATE 8.4% 5 05 - May - 23
35 VERAPAMIL 5MG/2ML 5 30 - Sep - 23
36 WATER FOR INJECTION 10 31 - Jan - 23

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:
YEAR MONTH CRASH CART MEDICATION LIST (AB #3)
AMBU BAG 3
2021 OCTOBER

QUANTITY Sat Sun Mon Tue Wed Thu Fri


No. MEDICATION NAME ISSUED EXPIRY DATE
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
1 ADENOSINE 6MG/2ML 5 31 - Dec - 22
2 ADRENALINE 1MG/ML (1:1000) 20 31 - Aug - 23
3 AMINOPHYLLINE 25MG/ML 5 31 - Jan - 24
4 ATROPINE 0.5MG/ML 20 28 - Feb - 23
5 CALCIUM GLUCONATE 10% 5 31 - Dec - 22
6 CALCIUM CHLORIDE 10% 5 31 - Jan - 23
7 DEXAMETHASONE 4MG/ML 5 30 - Apr - 24
8 DEXTROSE 50% W/V SOLUTION 1 24 - Sep - 22
9 DICLOFENAC SODIUM 75MG 5 28 - Feb - 23
10 DIGOXIN 0.5MG/2ML 5 31 - Jan - 23
11 DOBUTAMINE HCL 250MG/5ML 5 30 - Sep - 22
12 DOPAMINE 200MG/5ML 5 31 - Jan - 23
13 FUROSEMIDE 20MG/2ML 10 30 - Sep - 23
14 HEPARIN SOLUTION 5000IU/ML 2 30 - Sep - 22
15 HYDRALAZINE 20MG 5 28 - Feb - 23
16 HYDROCORTISONE 100MG 10 31 - May - 24
17 HYOSCINE BROMIDE 20MG INJ. 15 30 - Jun - 22
18 ISOPRENALINE 0.2MG/ML 5 ---
19 LIDOCAINE 2% 2 10 - Jun - 24
20
MAGNESIUM SULPHATE 10% 5 31 - Jul - 23
(0.8mEqs/ML)
21 METOCLOPROMIDE 10MG INJ. 10 31 - Jan - 23
22 NEOSTIGMINE 0.5MG/ML INJ. 5 30 - Apr - 23
23 NITROGLYCERINE 50MG/10ML 5 31 - Mar - 24
24 NITROGLYCERINE 5MG PATCH 5 31 - Oct - 22
25 NORADRENALINE 8MG/4ML 5 30 - Sep - 22
26 PHENYTOIN 250MG/5ML 5 31 - May - 22
27 PHYTOMENADIONE 2MG INJ. 5 31 - Jan - 23
28 POTASSIUM CHLORIDE 2mEqs/ml 5 30 - Apr - 23
29 PROTAMINE SULFATE 10MG 5 28 - Feb - 23
30 PROPRANOLOL 1MG/ML INJ 5 30 - Jun - 22
31
POVIDONE IODINE W/V 10% 2 30 - Jun - 22
SOLUTION
32
SALBUTAMOL NEBULIZING 2 28 - Feb - 23
SOLUTION
33 SILVER SULPHADIAZINE CREAM 5 31 - Jan - 24
34 SODIUM BICARBONATE 8.4% 5 17 - May - 23
35 VERAPAMIL 5MG/2ML 5 30 - Sep - 23
36 WATER FOR INJECTION 10 31 - Jan - 23

NURSE INITIAL/SIGNATURE:

EMPLOYEE NO:

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