Lampiran 1.

DAFTAR OBAT HIGH ALERT DI RS SIAGA AL MUNAWWARAH SAMARINDA

NO NAMA OBAT BENTUK SEDIAAN

INJEKSI
1 AMIODARON AMPUL
2 ATROPIN SULFAT AMPUL
3 EPHEDRIN AMPUL
4 EPINEPRINE AMPUL
5 NOREPHINEPRIN AMPUL
6 LIDOCAIN AMPUL
7 LEVICA AMPUL
8 NEOSTIGMINE AMPUL
9 METHYLERGOMETRINE AMPUL
10 OXYTOCYN AMPUL
11 LIDOCAIN COMP/ PEHACAIN AMPUL
12 DOBUTAMIN VIAL
13 DOPAMIN AMPUL
INSULIN PEN
1 APIDRA PEN
2 LANTUS PEN
3 SANSULIN LOG (PINK) PEN
4 LEVEMIR PEN
5 NOVORAPID PEN
6 RYZODEG PEN
7 SANSULIN RAPID (BIRU) PEN
8 EZELIN PEN
9 LANTUS XR PEN
10 HUMALOG 50 MIX PEN
TABLET
1 MISOPROSTOL/ GASTRUL TAB TABLET
NARKOTIKA DAN PSIKOTROPIKA
1 DIAZEPAM INJ/ STESOLID AMPUL
2 DIAZEPAM ENEMA 5 MG ENEMA
3 DIAZEPAM ENEMA 10 MG ENEMA
4 DUROGESIC PATCH PATCH
5 ETANYL INJ AMPUL
6 MIDAZOLAM INJ/ SEDACUM AMPUL
ELEKTOLIT PEKAT
1 DEXTROSE 40% FLS
2 KCL 7.46 FLS
3 MGSO4 20% FLS

RUMAH SAKIT SIAGA AL MUNAWWARAH SAMARINDA

Jl. Ramania No. 3 RT. 45 Kelurahan Sidodadi, Kecamatan Samarinda Ulu, Kota Samarinda – 75123
Tlp. : (0541) 739772 Fax. : (0541) 7272700

4 MGSO4 40%
NAMA OBAT SAMA DAN BEDA KEKUATAN SEDIAAN
ALLOPURINOL 100 MG TABLET
CANDESARTAN 8 MG TABLET
CEFIXIM 100 MG TABLET
CELECOXIB 100 GMG TABLET
FLUNARIZINE 5 MG TABLET
GLIMEPIRIDE 1, MG, 2 MG
GABAPENTIN 100 MG KAPSUL
MELOXICAM 7.5 MG TABLET
NA. DIKLOFENAK 25 MG TABLET
METFORMIN 500 MG TABLET
METILPREDNISOLON 4 MG TABLET
NITROKAF 2.5 MG KAPSUL
PROPANOLOL 10 MG TABLET
PREGABALIN 75 MG KAPSUL
REQUIP 2 MG TABLET
SALBUTAMOL 2 MG TABLET
SANMOL 500 MG TABLET
SPIRONOLAKTON 25 MG TABLET
VALSARTAN 80 MG TABLET
HERBESSER 100 MG KAPSUL
CODIPRONT KAPSUL
CODIPRONT SYR
DIAZEPAM ENEMA 5 MG
LIDOCAIN
PICYN 750 MG INJ
D5 1/2, D5
SCOPMA TABLET
PAMOL SUPP 125 MG
HALOPERIDOL 0.5 MG TABLET
ALPRAZOLAM 0.5 MG TABLET
CHLORPROMAZINE 25 MG TABLET
SOROQUIN 100 MG TABLET
CLOZAPINE 25 MG TABLET
ARIPIPRAZOLE 5 MG TABLET
FLUOXETIN 10 MG TABLET
RAMIPRIL 5 MG TABLET
BENTUK KEMASAN OBAT MIRIP
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Jl. Ramania No. 3 Sidodadi - Samarinda Ulu Kota
Samarinda – 75123 – Fax. (0541) 7272700
Tlp. (0541) 739772 / 7272667
FLS
ALLOPURINOL 300 MG TABLET
CANDESARTAN 16 MG TABLET
CEFIXIM 200 MG TABLET
CELECOXIB 200 MG TABLET
FLUNARIZINE 10 MG TABLET
GLIMEPIRIDE 3 MG, 4 MG
GABAPENTIN 300 MG KAPSUL
MELOXICAM 15 MG TABLET
NA. DIKLOFENAK 50 MG TABLET
METFORMIN 850 MG TABLET
METILPREDNISOLON 16 MG TABLET
NITROKAF 5 MG KAPSUL
PROPANOLOL 40 MG TABLET
PREGABALIN 150 MG KAPSUL
REQUIP 4 MG TABLET
SALBUTAMOL 4 MG TABLET
SANMOL 650 MG TABLET
SPIRONOLAKTON 100 MG TABLET
VALSARTAN 160 MG TABLET
HERBESSER 200 MG KAPSUL
CODIPRONT CUM KAPSUL
CODIPRONT CUM SYR
DIAZEPAM ENEMA 10 MG
LIDOCAIN COMPOSITUM
PICYN 1500 MG INJ
D5 1/4
SCOPMA PLUS TABLET
PAMOL SUPP 250 MG
HALOPERIDOL 5 MG TABLET
ALPRAZOLAM 1 MG TABLET
CHLORPROMAZINE 100 MG TABLET
SOSROQUIN 200 MG TABLET
CLOZAPINE 100 MG TABLET
ARIPIPRAZOLE 10 MG TABLET
FLUOXETINE 20 MG TABLET
RAMIPRIL 10 MG TABLET
 Jl. Ramania No. 3 Sidodadi - Samarinda Ulu Kota
Samarinda – 75123 – Fax. (0541) 7272700
Tlp. (0541) 739772 / 7272667

CENDO LYTEERS CENDO TOBROSON

CENDO CENFRESH
CENDO LFX
MOMETASONE CREAM
CIPROFLOXACIN INF, METRONIDAZOLE INF
ATORVASTATIN 20 MG TABLET
CEFTRIAXONE INJ
DEXAMETHASONE INJ
VIT B1, VIT B6
ASAM FOLAT 400 MCG TABLET
SALBUTAMOL 2 MG TABLET
SANMOL 500 MG TABLET
REQUIP 2 MG TABLET
PREGABALIN 75 MG KAPSUL
PROPANOLOL 10 MG TABLET
NITROKAF 2.5 MG KAPSUL
NA. DIKLOFENAK 25 MG TABLET
RAMIPRIL 5 MG, RAMIPRIL 10 MG
MELOXICAM 7.5 MG TABLET
GLIQUIDON TABLET
FLUNARIZINE 5 MG TABLET
CELECOXIB 100 GMG TABLET
DIGOXIN, ANEMOLAT
HERBESSER 100 MG KAPSUL
POLOFAR PLUS TABLET
SANSULIN LOG (PINK)
CANDESARTAN 8 MG TABLET
PENGUCAPAN/ PENULISAN MIRIP
CENDO EYEFRESH
CENDO TROPIN
MUPIROCIN SALEP
PARACETAMOL INF
ROSUVASTATIN 10 MG TABLET
CEFOTAXIME INJ
DIPHENHIDRAMIN INJ
VIT B12
AMLODIPIN 5 MG, AMLODIPIN 10 MG
SALBUTAMOL 4 MG TABLET
SANMOL 650 MG TABLET
REQUIP 4 MG TABLET
PREGABALIN 150 MG KAPSUL
PROPANOLOL 40 MG TABLET
NITROKAF 5 MG KAPSUL
NA. DIKLOFENAK 50 MG TABLET
NIFEDIPIN, LISINOPRIL
MELOXICAM 15 MG TABLET
ACARBOSE 100 MG TABLET
FLUNARIZINE 10 MG TABLET
CELECOXIB 200 MG TABLET
BISOPROLOL 5 MG TABLET
HERBESSER 200 MG KAPSUL
IFARSYL TABLET
SANSULIN RAPID (BIRU)
CANDESARTAN 16 MG TABLET

ASAM MEFENAMAT TABLET ASAM TRANEKSAMAT TABLET

CEFOTAXIME INJ CEFTRIAXONE INJ
NIFEDIPINE TABLET AMLODIPIN TABLET
LISINOPRIL TABLET RAMIPRIL TABLET
IBUPROFEN TABLET KETOPROFEN TABLET
TELMISARTAN TABLET VALSARTAN TABLET
CENDO CENFRESH CENDO EYEFRESH

Penanggung Jawab
Kepala Unit Farmasi

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 Jl. Ramania No. 3 Sidodadi - Samarinda Ulu Kota
Samarinda – 75123 – Fax. (0541) 7272700
Tlp. (0541) 739772 / 7272667

Apt. Della Narita Haerunisa

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