Rumah Sakit Umum

MUSLIMAT PONOROGO
Jl. Jend. Ahmad Yani No. 155 Ponorogo

FORM OBAT EMERGENCY

No Nama Obat Jumlah Dosis Pelarut
1. Epineprin Inj 3 1 mg/ mL -

2. Atropin Sulfate Inj 3 0,25 mg / mL -

3. Dexamethasone Inj 3 5 mg / mL -

4. Dobutamine Inj 1 250 mg / 5 mL NaCl 0,9 %, Dextrose 5%,

Ringer Laktat, Water For
Injection
5. Ringer Laktat 1 500 mL Water For Injection

6. NaCl 0,9 % 1 4,5 g / 500 mL Water For Injection

7. Dextrose 5% 1 25,0 g / 500 mL Water For Injection

8. Furosemide Inj 3 10 mg / mL -

9. Amiodaron Inj 2 50 mg / mL NaCl 0,9 %, Dextrose 5%,

Ringer Laktat, Water For
Injection
10. Dopamine Inj 1 200 mg / 5 mL NaCl 0,9 %, Dextrose 5%,
Ringer Laktat, Water For
Injection
11. Lidocain Inj 3 20 mg / 2mL -

12. NTG inj 2 1 mg / mL -

(Nitrogliserin)
13. Acetosal Tab 3 100 mg / tab -

14 Aminophylin Inj 2 24 mg / mL -

15. Aqua Pro Injeksi 1

16. Spuit 3 cc 3

17. Spuit 5 cc 3

18. Spuit 10 cc 3

19. NRM (Non- 1

Rebreathing Mask)
 Rumah Sakit Umum
MUSLIMAT PONOROGO
Jl. Jend. Ahmad Yani No. 155 Ponorogo
Dewasa
20. NRM (Non- 1
Rebreathing Mask)
Anak
21. Canule Oksigen 1
Dewasa
22. Canule Oksigen 1
Anak
23. Jarum 26 3

24. Jarum 23 3

25. Mayo 80 1