Ceklist Persediaan Obat Emergency [PDF]

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CEKLIST PERSEDIAAN OBAT EMERGENCY Ruang :UGD NO 1. 2. 3. 4. 5. 6. 7. 8.



NAMA OBAT Ephineprin inj Diphenhydramine inj Dexamethason inj Lidocain inj Aminophylin inj Diazepam lart rectal 10 mg/2.5ml Diazepam lart rectal 5 mg/2.5 ml Ringer lactat infus



JUMLAH



SISA



EXPAIRED



KETERANGAN



CEKLIST PERSEDIAAN OBAT EMERGENCY Ruang : PELAYANAN GIGI DAN MULUT NO 1. 2. 3. 4. 5. 6. 7. 8.



NAMA OBAT Ephineprin inj Diphenhydramine inj Dexamethason inj Ringer Lactat 500 ml



JUMLAH



SISA



EXPAIRED



KETERANGAN



CEKLIST PERSEDIAAN OBAT EMERGENCY Ruang :AMBULANCE NO 1. 2. 3. 4. 5. 6. 7. 8.



NAMA OBAT Ephineprin inj Diphenhydramine inj Dexamethason inj Ringer Lactat 500 ml



JUMLAH



SISA



EXPAIRED



KETERANGAN



i



CEKLIST PERSEDIAAN OBAT EMERGENCY Ruang :PONED NO 1. 2. 3. 4. 5. 6. 7. 8.



NAMA OBAT Ephineprin inj Diphenhydramine inj Dexamethason inj MGSO4 40 % Ringer Lactat 500 ml



JUMLAH



SISA



EXPAIRED



KETERANGAN



CEKLIST PERSEDIAAN OBAT EMERGENCY Ruang :PEMERIKSAAN UMUM NO



NAMA OBAT Ephineprin inj Diphenhydramine inj Dexamethason inj Lidocain inj Aminophylin inj Diazepam lart rectal 10 mg/2.5ml 7. Diazepam lart rectal 5 mg/2.5 ml 8. Ringer lactat infus 1. 2. 3. 4. 5. 6.



JUMLAH



SISA



EXPAIRED



KETERANGAN