Kartu Stok Obat Emergency 26h6k
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DAFTAR KELENGKAPAN OBAT EMERGENCY
Ruangan : Bulan : WAKTU DIPANTAU JUMLAH NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
I
II III IV V
KET
TAR KELENGKAPAN OBAT EMERGENCY
Ruangan : Bulan : NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
JUMLAH WAKTU DIPANTAU I II III IV V
KET
DAFTAR KELENGKAPAN OBAT EMERGENCY
Ruangan : Bulan : WAKTU DIPANTAU JUMLAH NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
I
II III IV V
KET
DAFTAR KELENGKAPAN OBAT EMERGENCY
Ruangan : Bulan : NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
JUMLAH WAKTU DIPANTAU I II III IV V
KET
Ruangan : Bulan : WAKTU DIPANTAU JUMLAH NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
I
II III IV V
KET
TAR KELENGKAPAN OBAT EMERGENCY
Ruangan : Bulan : NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
JUMLAH WAKTU DIPANTAU I II III IV V
KET
DAFTAR KELENGKAPAN OBAT EMERGENCY
Ruangan : Bulan : WAKTU DIPANTAU JUMLAH NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
I
II III IV V
KET
DAFTAR KELENGKAPAN OBAT EMERGENCY
Ruangan : Bulan : NAMA OBAT
Diazepam inj 5 mg/ml 2 ml Dexamethason inj 5 mg/ml 1 ml Difenhydramin HCL inj 10 mg/ml 1 ml Epinefrin Inj Fitomenadion (Vit K1) inj 2 mg/ml Lidocain Inj Ondansetrone Inj Ranitidine Inj NaCl 0,9 % Disposible 1 ml Disposible 3 ml Paraf Petugas
JUMLAH WAKTU DIPANTAU I II III IV V
KET
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