Daftar Tambahan Obat Emergency Maternal Standar PONEK
Ruangan NO
: R. VK, R. Meranti, R. IGD Maternal NAMA OBAT Alat-alat Eklampsia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Blood Set Wing Catheter 18 G Folley Ballon Cathether no 16 Urine Bag Nasal Canula Adult Spuit 3 cc Spuit 5 cc Spuit 10 cc Spuit 20 cc Xylocain Gel Sarung Tangan 6,5 Alcohol Swab Tegaderm Suction Catheter no 12 Gudel no. 5 Elektroda Plester Tabung Darah
1 2 3 4 5 6 7 8 9 10
Obat-obatan Eklampsia Nifedipine 10 mg Dopamet 250 mg MgSO4 20% MgSO4 40% RL Epineprin ISDN tab Aquabidest Vit C ampul Furosemid
NO 1 2
NAMA OBAT Alat-alat HPP Blood Set Wing Catheter 18 G
3 4 5 6 7 8 9 10 12 13 14 15
Wing Catheter 20 G Nasal Canula Adult Folley Ballon Catheter no. 16 Folley Ballon Catheter no. 24 Urine Bag Sarung Tangan 6,5; 7; 7,5 Tabung Darah Sarung Tangan Gyn no 6,5/ 7 Spuit 1 cc Spuit 3 cc Spuit 5 cc Spuit 10 cc Obat-obatan HPP
1 2 3 4 5 6 7 8 9 10
NO
Oxytocin Methergin Misoprostol Aquabidest NaCl RL Gelofusal Ceftriaxone 1 gr Atropin sulfat Ca Gluconas
NAMA OBAT Alat-alat Anafilaktik
1 2 3 4 5 6
Blood Set Wing Catheter 18 G Nasal Canula Adult Spuit 3 cc Spuit 5 cc Spuit 10 cc
1 2 3 4 5 6 7
Obat-obatan Anafilaktik Dexametason inj Aquabidest NaCl RL Epineprin Atropin sulfat Ca Gluconas
NO
NAMA OBAT Alat-alat Resusitasi
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Infus set Tegaderm ETT No. 6 Kassa steril Sarung tangan No 6,5 dan 7,5 Spuit 1 cc Spuit 3 cc Spuit 5 cc Spuit 10 cc Spuit 25 cc Spuit 50 cc Wing Catheter Gudel no 4/5 Xylocain Gel
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Obat-obatan Resusitasi MgSO4 40 % MgSO4 20 % Aquabidest Dextrose 40 % RL NaCl Ca Gluconas Epineprin Atropin Sulfat Oxytosin Methergin Lidocain 2% Dipenhidramin Deksametason inj Nipedipin 10 mg
t Emergency Maternal Standar PONEK
JUMLAH YANG ADA 2 2 1 1 1 3 2 3 1 1 2 8 1 1 1 3 1 3
10 10 2 2 2 5 10 3 2 2
JUMLAH YANG ADA 2 3
1 1 1 1 1 1 3 1 2 2 2 1
5 5 5 2 1 2 1 1 2 1
JUMLAH YANG ADA 2 2 1 5 2 1
5 1 1 2 5 3 1
JUMLAH YANG ADA 1 1 1 1 1 2 2 2 2 1 1 1 1 1
1 1 1 2 1 1 1 2 2 3 2 4 2 3 3
Daftar Trolley Emergency Neonatal Standar PONEK Ruangan NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
: R. VK, R. IGD Neonatal, R. NICU, R. Perinatologi NAMA OBAT Injeksi Atropin injeksi IM/T V/S K 0,25 mg/ml Ca Gluconas injeksi Dexamethasone injeksi 5 mg/ml Ephinefrine / Adrenalin injeksi 0,1% Penobarbital /Sibital injeksi Diazepam injeksi Dopamin 20 mg Dobutamin Midazolam 15 mg Ampicilin sulbactam Ranitidin injeksi Aminophilin Gentamicin Cairan Glucose larutan infus 10% KAEN 1 B Infus 500 ml Meylon 8,4% 25 ml Natrium chloride larutan infus 0,9% (500 ml) D 1/5 NS 500 ml Otsu NS 25 ml Otsu KCL 7,46 % Otsu - NS piggyback 100 ml Glucose larutan infus 40% Alkes Dysp. Syringe 1ml TB W/26 Gx1/2 Dysp. Syringe 3 ml Dysp. Syringe 5 ml Dysp. Syringe 10 ml W/21 Gx11/2 Dysp. Syringe 20 ml Dysp. Syringe 50 ml ETT no 2,5 ETT no 3 ETT no 3,5 ETT no 4 Extesion tube 75 Extesion tube 150 Feeding tube 5 FR cm 40 cm Feeding tube 5 FR 100 cm Feeding tube 8 FR 40 cm Feeding tube 8 FR 100 cm Infus set paed Infus set three way atop cock luer lock Kassa steril
SATUAN Ampul Ampul Ampul Ampul Ampul Ampul Ampul Ampul Ampul vial Ampul Ampul Ampul Botol Botol Vial Botol Botol Vial Vial Botol Ampul Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs box
42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
Nasal canul neonatal Nasal canul prematur Needle 23 G x 31/2 Red dot electroda SPO2 nellcor non adhesive foam sensor Suction catheter no 6 Suction no 8 Suction cath no 10 Wing catheter 26 G x56 Sarung tangan steril no 7 Sarung tangan steril no 7,5 Bisturi Aspirator meconium Mandrin / stilet Kateter umbilical fr 3,5 ALAT - ALAT Batre Plester / microport Gunting plester Laringoscope Alat pompa / T- Piece resusitator + sungkup (s, m, l ) Selang oksigen + oksigen
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Buah Pcs Buah Buah Unit Unit
ndar PONEK
JUMLAH YANG ADA 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 5 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
1 1 3 3 1 1 1 1 4 1 1 1 1 1 1 2 1 1 1 1 1