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DAFTAR PEMAKAIAN ALKES DAN MATKES ANASTESI DAFTAR PEMAKAIAN ALKES DAN MATKES ANASTESI

NO. RM. TGL. OPERASI NO. RM. TGL. OPERASI


NO. BPJS RUANG NO. BPJS RUANG
NAMA DIAGNOSA NAMA DIAGNOSA
UMUR JENIS ANESTESI UMUR JENIS ANESTESI
STATUS PASIEN DOKTER ANESTESI STATUS PASIEN DOKTER ANESTESI
NO. NAMA OBAT/ALKES SAT JUMLAH NO. NAMA OBAT/ALKES SAT JUMLAH NO. NAMA OBAT/ALKES SAT JUMLAH NO. NAMA OBAT/ALKES SAT JUMLAH
I OBAT 6 METRONIDAZOL INF I OBAT 6 METRONIDAZOL INF
1 AQUADEST 25 CC AMP 7 NS INF 1 AQUADEST 25 CC AMP 7 NS INF
2 AS. TRANEXAMAT AMP 8 NS 100 CC INF 2 AS. TRANEXAMAT AMP 8 NS 100 CC INF
3 ATRACURIUM AMP 9 PARASETAMOL INF 3 ATRACURIUM AMP 9 PARASETAMOL INF
4 ATROPIN SULFAS AMP 10 RL INF 4 ATROPIN SULFAS AMP 10 RL INF
5 BUPIVACAIN AMP 11 TERASTARCH INF 5 BUPIVACAIN AMP 11 TERASTARCH INF
6 CEFAZOLIN VIAL 12 TUTOFUSIN OPS INF 6 CEFAZOLIN VIAL 12 TUTOFUSIN OPS INF
7 CEFOTAXIM VIAL III ALKES 7 CEFOTAXIM VIAL III ALKES
8 CEFTRIAXON VIAL 1 ALKOHOL SWAB PCS 8 CEFTRIAXON VIAL 1 ALKOHOL SWAB PCS
9 DEXAMETASON AMP 2 BLOOD SET PCS 9 DEXAMETASON AMP 2 BLOOD SET PCS
10 DIAZEPAM AMP 3 DERMAFIX IV PCS 10 DIAZEPAM AMP 3 DERMAFIX IV PCS
11 EPEDRIN AMP 4 ELEKTRODE PCS 11 EPEDRIN AMP 4 ELEKTRODE PCS
12 EPINEFRIN AMP 5 EPIDURAL PCS 12 EPINEFRIN AMP 5 EPIDURAL PCS
13 FENTANYL AMP 6 ETT KK / NKK NO. PCS 13 FENTANYL AMP 6 ETT KK / NKK NO. PCS
14 FUROSEMID AMP 7 EXTENSION SET PCS 14 FUROSEMID AMP 7 EXTENSION SET PCS
15 KETAMIN VIAL 8 HANDSCOON PCS 15 KETAMIN VIAL 8 HANDSCOON PCS
16 KETOROLAC AMP 9 HANSAPLAST PCS 16 KETOROLAC AMP 9 HANSAPLAST PCS
17 LEVICA AMP 10 INFUS SET PCS 17 LEVICA AMP 10 INFUS SET PCS
18 LIDOCAIN 2% AMP 11 LMA NO. PCS 18 LIDOCAIN 2% AMP 11 LMA NO. PCS
19 LIDODEX 5 % AMP 12 MAYO NO. PCS 19 LIDODEX 5 % AMP 12 MAYO NO. PCS
20 METAMIZOL AMP 13 NEEDLE NO. PCS 20 METAMIZOL AMP 13 NEEDLE NO. PCS
21 METOKLOPRAMID AMP 14 NGT NO. PCS 21 METOKLOPRAMID AMP 14 NGT NO. PCS
22 MIDAZOLAM AMP 15 SILK 2/0 PCS 22 MIDAZOLAM AMP 15 SILK 2/0 PCS
23 MORFIN AMP 16 SPALK SIZE. PCS 23 MORFIN AMP 16 SPALK SIZE. PCS
24 NAROPIN AMP 17 SPET 10 CC / 20 CC PCS 24 NAROPIN AMP 17 SPET 10 CC / 20 CC PCS
25 NEOSTIGMIN AMP 18 SPET 3 CC PCS 25 NEOSTIGMIN AMP 18 SPET 3 CC PCS
26 NOVERON AMP 19 SPET 5 CC PCS 26 NOVERON AMP 19 SPET 5 CC PCS
27 OMEPRAZOL AMP 20 SPET 50 CC LT / LP PCS 27 OMEPRAZOL AMP 20 SPET 50 CC LT / LP PCS
28 ONDANSENTRON AMP 21 SPINOKAN PCS 28 ONDANSENTRON AMP 21 SPINOKAN PCS
29 PETIDIN AMP 22 SUCTION CATH. NO. PCS 29 PETIDIN AMP 22 SUCTION CATH. NO. PCS
30 PROPOFOL AMP 23 SURFLO NO. PCS 30 PROPOFOL AMP 23 SURFLO NO. PCS
31 RANITIDIN AMP IV GAS INHALASI 31 RANITIDIN AMP IV GAS INHALASI
32 TRAMADOL AMP 1 HALOTAN CC 32 TRAMADOL AMP 1 HALOTAN CC
II CAIRAN 2 ISOFLURAN CC II CAIRAN 2 ISOFLURAN CC
1 ASERING INF 3 SEVOFLURAN CC 1 ASERING INF 3 SEVOFLURAN CC
2 D5 1/4 NS / D5 1/2 NS INF V LAIN-LAIN 2 D5 1/4 NS / D5 1/2 NS INF V LAIN-LAIN
3 GELAFUSAL INF 3 GELAFUSAL INF
4 HEST INF 4 HEST INF
5 MANITOL INF 5 MANITOL INF
PETUGAS PENGAMBIL PETUGAS FARMASI PETUGAS PENGAMBIL PETUGAS FARMASI

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