MONITORING OBAT/ALKES EMERGENSI
UNIT : BULAN : TAHUN :
NO SESUAI
NAMA SEDIAAN TGL EXP STOCK AWAL STOCK AKHIR
YA TIDAK
1 Adenosin 20 mg/2 ml inj
2 Adrenalin/Epinephrine 1mg/mL
Inj
3 Alkohol Swab
4 Amiodaron 150 mg/3 ml Inj
5 Apron
6 Aquabidest
7 Asam Tranexamat 500 mg
8 Atropin Sulfat 0,25 mg/ml inj
9 Blood Set
10 Dextrose 5% 100 ml
11 Dopamin 200 mg/5 ml inj
12 Elektroda/ECG
13 Endotracheal Intubation Stylet
/Mandrin ETT
14 ETT No. 2
15 ETT No. 2,5
16 ETT No. 4,5
17 Folley Catheter No. 10
18 Folley Catheter No. 12
19 Folley Catheter No. 14
20 Folley Catheter No. 16
21 Folley Catheter No. 18
22 Furosemid 10 mg/ml inj
23 Hard Matras/Patslide
24 I.V Catheter No. 16
25 I.V Catheter No. 18
26 I.V Catheter No. 20
27 I.V Catheter No. 22
28 I.V Catheter No. 24
29 Infus set
30 Kassa Gulung
31 Laringoskop
32 Lidocain 2% inj
33 Methylprednisolone 125mg inj
34 Micro Drip/Mikroburet
35 NaCl 0,9% 100 ml
36 NaCl 0,9% 500 ml
37 Nasal kanul
38 NGT No. 10
39 NGT No. 12
40 NGT No. 14
41 NGT No. 16
42 NGT No. 3,5
43 NGT No. 4
44 NGT No. 5
45 NGT No. 6
46 NGT No. 8
1
47 Oropharingeal Airways (OPA)/
Guedel No. 00
48 Oropharingeal Airways (OPA)/
Guedel No. 2
49 Oropharingeal Airways (OPA)/
Guedel No. 4
50 Oropharingeal Airways (OPA)/
Guedel No. 6
51 Plester Gulung
52 Ringer Lactat 500 ml
53 Spuit 10 ml
54 Spuit 20 ml
55 Spuit 3 ml
56 Spuit 5 ml
57 Stesolid 10 mg/2 ml inj
58 Stesolid 10 mg/2,5 ml rectal
59 Stesolid 5 mg/2,5 ml rectal
60 Tongue Spatel
61 Tourniquet
62 Urine Bag
63 Xylocain gel
DIPERIKSA TANGGAL
PETUGAS UNIT/INSTALASI PETUGAS FARMASI