lampiran baru
2
LAMPIRAN No Nama Obat Sediaan Jumlah Permintaan 1. Adrenalin 1 mg/amp ampul 6 2. Noradrenalin ampul 10 3. Sulfas Atrofin (SA) 0,25 mg ampul 1 4. Amiodaron 150 mg ampul 8 5. Adenosin Triphospat 20 mg ampul 2 6. Dobutamin 250 mg ampul 1 7. Lanoxin 0,5 mg ampul 2 8. Nitroglicerin 10 mg / 50 mg ampul 2/1 9. Nicardipin (perdipin) ampul 2 10. Xylocard 100 mg / 500 mg ampul 1/1 11. Calcium Glukonas ampul 2 12. Magnesium Sulfat (MgSO4) 20% 25 ml flakon 2 13. Dormicum 15 mg / miloz ampul 2 14. Heparin vial 1 15. Natrium Bikarbonat 7,5 % flakon 7 16. Diazepam injeksi ampul 2 17. Adona AC 17 ampul 3 18. Fibrinolitik (Streptase) 1,5 juta IU vial 1 19. Aspilet 80 mg tablet 6 20. Clopidogrel 75 mg tablet 8 21. Isosorbit Dinitrat 5 mg tablet 5 22. Morfin 10 mg ampul 2 23. D5 W kolf 2 24. Ringer Fundine ( Kristaloid Balance ) kolf 2 25. Ringer Laktat kolf 2 26. NaCl 0,9% 500 ml kolf 2 27. Dextrose 40% 25 ml flakon 2 28. NaCl 0,9% 25 ml flakon 5 29. WFI 25 ml flakon 5
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LAMPIRANNo Nama Obat Sediaan Jumlah Permintaan1. Adrenalin 1 mg/amp ampul 62. Noradrenalin ampul 1!. Sul"a# Atro"in $SA% &2' mg ampul 1(. Amiodaron 1' mg ampul )'. Adeno#in *ripho#pat 2 mg ampul 26. +obutamin 2' mg ampul 1,. Lano-in &' mg ampul 2). Nitrogli.erin 1 mg / ' mg ampul 2/1/. Ni.ardipin $perdipin% ampul 21. 01lo.ard 1 mg / ' mg ampul 1/111. 2al.ium 3lu4ona# ampul 212. Magne#ium Sul"at $MgSO(% 25 2' ml"la4on 21!. +ormi.um 1' mg / milo6 ampul 21(. 7eparin 8ial 11'. Natrium 9i4arbonat ,&' 5 "la4on ,16. +ia6epam in:e4#i ampul 21,. Adona A2 1, ampul !1). ;ibrinoliti4 $Strepta#e% 1&' :uta I< 8ial 11/. A#pilet ) mg tablet 62. 2lopidogrel ,' mg tablet )21. I#o#orbit +initrat ' mg tablet '22. Mor"in 1 mg ampul 22!. +' = 4ol" 22(. Ringer ;undine $ >ri#taloid 9alan.e %4ol" 22'. Ringer La4tat 4ol" 226. Na2l &/5 ' ml 4ol" 22,. +e-tro#e (5 2' ml "la4on 22). Na2l &/5 2' ml "la4on '2/. =;I 2' ml "la4on '!. A?uade#t Steril 2' ml "la4on )!1. Al4ohol ,5 liter 2 Liter!2. 9etadine liter 2 Liter!!. +' = 4ol" 2!(. @a4#in A*S ampul 1!'. @a4#in *etagam ampul '!6. @a4#in *etanu# *o-oid 8ial 2!,. 2edo.ard ampul 2!). 9ri.a#ma ampul 2!/. A#am *rane4#amat ampul 2(. 2edantron ampul 2(1. *ramadol ampul 2(2. Ranitidin ampul 2(!. Metergin ampul 1((. Sinto.1non ampul 1('. MgSO( (5 "la4on 2(6. Serum Anti 9i#a
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