Lampiran New
82
1 LAMPIRAN A HASIL PENGUMPULAN DATA No Inis ial Usi a J K Diagnos a Antibiotik dan Obat lain Intenational Nonpropriato ry Name Kode ATC Bentuk Sediaa n Obat Dosis Sekali Dosis Sehar i Inter val (Jam) Rute Lama pemakai an (hari) Mulai pengguna an (hari ke) KET 1 NE 26 P ISK, gastric ulcer asering electrolytes B05BB01 infus 500 ml/4 jam 3000 ml 4 parente ral 2 H1, H2 sembuh , diijin kan pulang omeprazol omeprazole A02BC01 injeks i 40 mg 80 mg 12 parente ral ondansetro n ondansetron A04AA01 injeks i 4 mg 8 mg 12 parente ral antrain metamizole sodium N02BB02 injeks i 1 g/ 2ml 3 g/ 6 ml 8 parente ral buskopan butylscopola mine A03BB01 injeks i 20 mg/1 ml 40 mg/2 ml 12 parente ral sucralfat sucralfate A02BX02 sirup 1 g/ 10 ml 3 g/ 30 ml 8 oral braxidin chlordiazepo xide N05BA02 tablet 5 mg 15 mg 8 oral asering electrolytes B05BB01 infus 500 ml/4 jam 3000 ml 4 parente ral 2 H3, H4 omeprazol omeprazole A02BC01 injeks i 40 mg 80 mg 12 parente ral ondansetro n ondansetron A04AA01 injeks i 4 g 8 g 12 parente ral antrain metamizole sodium N02BB02 injeks i 1 g/ 2 ml 3 g/6 ml 8 parente ral buskopan butylscopola mine A03BB01 injeks i 20 mg/1 ml 40 mg/2 ml 12 parente ral
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Transcript of Lampiran New
1LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
1 NE 26 PISK,
gastric ulcer
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H1, H2
sembuh, diijinkan pulang
omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral ondansetron ondansetron A04AA01 injeksi 4 mg 8 mg 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/ 2ml 3 g/ 6
ml 8 parenteral
buskopan butylscopolamine A03BB01 injeksi 20 mg/1 ml
40 mg/2 ml
12 parenteral
sucralfat sucralfate A02BX02 sirup 1 g/ 10 ml
3 g/ 30 ml 8 oral
braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H3, H4
omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral ondansetron ondansetron A04AA01 injeksi 4 g 8 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/ 2 ml 3 g/6
ml 8 parenteral
buskopan butylscopolamine A03BB01 injeksi 20 mg/1 ml
40 mg/2 ml
12 parenteral
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral sucralfat sucralfate A02BX02 sirup 15 ml 45 ml 8 oral braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral
2 SF 53 L ISK RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1
sembuh, diijinkan pulang
amlodipin amlodipine C08CA01 tablet 5 mg 5 mg 24 oral
drip amino acid amino acids B02AA injeksi 8 cc 24 cc 8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/ 4 ml 3 g/12 ml 8 parenteral
ambroxol ambroxol R05CB06 tablet 30 mg 90 mg 8 oral
2LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
3 IV 34 P ISK asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H1, H2
sembuh, diijinkan pulang
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
panmol paracetamol N02BE01 tablet 500 mg 2000 mg 6 oral
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H3
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 1 g 24 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/ 6
ml 8 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
4 MN 41 P
ISK, gastritis, amenore sekunder,
NKTD
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1 sembuh
ranitidin ranitidine A02BA02 injeksi 50 mg/ 2 ml
100 mg/4 ml
12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/ 2 ml 3 g/ 6
ml 8 parenteral
antasida antacids A02A sirup 15 ml 45 ml 8 oral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H2, H3, H4
ranitidin ranitidine A02BA02 injeksi 50 mg/ 2 ml
100 mg/4 ml
12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/ 2 ml 3 g/6
ml 8 parenteral
antasida antacids A02A sirup 15 ml 45 ml 8 oral
3LAMPIRAN A HASIL PENGUMPULAN DATA
cefotaxim cefotaxime J01DD01 injeksi 1 g/ 4ml 3 g/ 12 ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
5 JH 40 L ISK RL electrolytes B05BB01 infus 1000 cc 1000 cc 24 parenteral 1 H1
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
transamin tranexamic acid B02AA02 kapsul 250 mg 750 mg 8 oral
antrain metamizole sodium N02BB02 injeksi 1 g/ 2 ml 3 g/ 6
ml 8 parenteral
6 SH 41 P ISK RL:D5 electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H1
cefotaxim cefotaxime J01DD01 injeksi 1 g/ 4 ml 2 g/ 8 ml 12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/ 2ml
150 mg/ 6
ml8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/ 6
ml 8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H2
cefotaxim cefotaxime J01DD01 injeksi 1 g/ 4ml 2 g/ 8 ml 12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/ 6
ml8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/ 2 ml 4 g/ 8
ml 6 parenteral
D5 carbohydrates B05BA03 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H3
cefotaxim cefotaxime J01DD01 injeksi 1 g/ 4ml 2 g/ 8 ml 12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/ 6 8 parenteral
4LAMPIRAN A HASIL PENGUMPULAN DATA
ml
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/ 6
ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
RL:DS electrolytes with carbohydrates B05BB02 infus 500 ml/4
jam3000 ml 4 parenteral 1 H4
ranitidin ranitidine A02BA02 injeksi 50 mg/ 2ml
150 mg/ 6
ml8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/ 6
ml 8 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
Tonor betaxolol C07AB05 tetes mata
0,25 mg/1 tetes
0,75 mg/3 tetes
8 enteral
RL:DS electrolytes with carbohydrates B05BB02 infus 500 ml/4
jam3000 ml 4 parenteral 1 H5
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/ 6
ml 8 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
tonor betaxolol C07AB05 tetes mata
0,25 mg/1 tetes
0,75 mg/3 tetes
8 enteral
RL:DS electrolytes with carbohydrates B05BB02 infus 500 ml/4
jam3000 ml 4 parenteral 1 H6
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
5LAMPIRAN A HASIL PENGUMPULAN DATA
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
tonor betaxolol C07AB05 tetes mata
0,25 mg/1 tetes
0,75 mg/3 tetes
8 enteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
7 BU 55 L ISK, dispepsia Pz electrolytes B05BB01 infus 500 ml parenteral 2 H1, H2
membaik,
diijinkan pulang
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
digoxin digoxin C01AA05 tablet 0,125 mg 0,25 mg 12 oral
Pz electrolytes B05BB01 infus 500 ml parenteral 1 H3 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
digoxin digoxin C01AA05 tablet 0,125 mg 0,25 mg 12 oral
mycostatin drop nystatin G01AA01 suspensi 0,5 mg/2
tetes2 mg/8 tetes 6 mukosa
microlac laurilsulfate, incl. combinations A06AG11 supposito
ria 10 mg 10 mg 24 enteral
Pz electrolytes B05BB01 infus 500 ml parenteral 1 H4 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/ 2 ml
150 mg/ 6
ml8 parenteral
digoxin digoxin C01AA05 tablet 0,125 mg 0,25 mg 12 oral
mucostatin drop nystatin G01AA01 suspensi 0,25
mg/1 1 mg/4 tetes 6 topikal
6LAMPIRAN A HASIL PENGUMPULAN DATA
tetes
microlac laurilsulfate, incl. combinations A06AG11 supposito
ria 10 mg 10 mg 24 enteral
Pz electrolytes B05BB01 infus 500 ml parenteral 1 H5 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
digoxin digoxin C01AA05 tablet 0,125 mg 0,25 mg 12 oral
mycostatin drop nystatin G01AA01 suspensi
0,25 mg/1 tetes
1 mg/4 tetes 6 mukosa
Pz electrolytes B05BB01 infus 500 ml parenteral 3 H6, H7, H8 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
digoxin digoxin C01AA05 tablet 0,125 mg 0,25 mg 12 oral
mucostatin drop nystatin G01AA01 suspensi
0,25 mg/1 tetes
1 mg/4 tetes 6 topikal
microlac laurilsulfate, incl. combinations A06AG11 supposito
ria 10 mg 10 mg 24 enteral
7LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
8 KS 51 PISK, colic abdomen,
anemiaRL electrolytes B05BB01 infus 500 ml/4
jam3000 ml 4 parenteral 1 H1
membaik,
diijinkan pulang
ketorolac ketorolac M01AB15 injeksi 10 mg/1 ml
30 mg/3 ml
8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H2
ketorolax ketorolac M01AB15 injeksi 10 mg/1 ml
30 mg/3 ml
8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
allopurinol allopurinol M04AA01 tablet 100 mg 100 mg 24 oral
citodrox hydroxycarbamide L01XX05 kapsul 500 mg 1500
mg 8 oral
RL+KCl electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H3, H4
ketorolax ketorolac M01AB15 injeksi 10 mg/1 ml
30 mg/3 ml
8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
8LAMPIRAN A HASIL PENGUMPULAN DATA
omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
allopurinol allopurinol M04AA01 tablet 100 mg 100 mg 24 oral
citodrox hydroxycarbamide L01XX05 kapsul 500 mg 1500
mg 8 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
9 LL 34 Pgastritis,
ISK, sepsis
Pz electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1 sembuh
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
allopurinol allopurinol M04AA01 tablet 100 mg 200 mg 12 oral
dexantaordinary salt
combinations and antiflatulents
A02AF02 sirup 15 ml 30 ml 12 oral
nexium esomeprazole A02BC05 tablet 20 mg 40 mg 12 oral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ciprofloxaxin ciprofloxacin J01MA02 injeksi 100 mg/50 ml
200 mg/100
ml12 parenteral 2 H2, H3
ciprofloxaxin ciprofloxacin J01MA02 injeksi 100 mg/50 ml
200 mg/100
ml12 parenteral
dexantaordinary salt
combinations and antiflatulents
A02AF02 sirup 15 ml 45 ml 8 oral
braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral nexium esomeprazole A02BC05 tablet 20 mg 40 mg 12 oral
9LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
10 RH 35 L ISK RL:DS electrolytes with carbohydrates B05BB02 infus 1000
cc:500cc
1000 cc:500
cc4 parenteral 5 H1, H2,
H3, H4, H5membai
k
buscopan butylscopolamine A03BB01 injeksi 20 mg/1 ml
40 mg/2 ml
12 parenteral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
10LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
11 SW 39 PISK,
apendicitis
RL:DS electrolytes with carbohydrates B05BB02 infus 500 cc :
250 cc500 cc : 250 cc parenteral 1 H1 membai
k
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 500 cc :
250 cc500 cc : 250 cc parenteral 1 H2
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
lansoprazole lansoprazole A02BC03 tablet 30 mg 30 mg 24 oral
buscopan butylscopolamine A03BB01 injeksi 20 mg/1 ml
40 mg/2 ml
8 parenteral
11LAMPIRAN A HASIL PENGUMPULAN DATA
RL:DS electrolytes with carbohydrates B05BB02 infus 4 parenteral 5 H3, H4,
H5, H6, H7
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
lansoprazole lansoprazole A02BC03 tablet 30 mg 30 mg 24 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
buscopan butylscopolamine A03BB01 injeksi 20 mg/1 ml
40 mg/2 ml
8 parenteral
12 RS 15 L ISK, gartritis O2 oxygen V03AN01 inhaler inhalasi 1 H1
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 2 g/ 8 ml 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
lasix furosemide C03CA01 injeksi 20 mg/2 ml
20 mg/2 ml
parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H2, H3, H4
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 100 12 parenteral
12LAMPIRAN A HASIL PENGUMPULAN DATA
ml mg/4 ml
lasix furosemide C03CA01 injeksi 20 mg/2 ml
20 mg/2 ml
24 parenteral
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
RL electrolytes B05BB01 injeksi 500 ml/4 jam
3000 ml 4 parenteral 1 H5
ceftriaxon ceftriaxone J01DD04 injeksi 2 g 4 g 12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
lasix furosemide C03CA01 injeksi 20 mg/2 ml
20 mg/2 ml
24 parenteral
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
lansoprazol lansoprazole A02BC03 tablet 30 mg 60 mg 12 oral sucralfat sucralfate A02BX02 sirup 15 ml 45 ml 8 oral
RL electrolytes B05BB01 infus 500 ml 3000 ml 4 parenteral 1 H6
ceftriaxon ceftriaxone J01DD04 injeksi 2 g 4 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
lasix furosemide C03CA01 injeksi 20 mg/2 ml
40 mg/4 ml
12 parenteral
13LAMPIRAN A HASIL PENGUMPULAN DATA
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
lansoprazol lansoprazole A02BC03 tablet 30 mg 60 mg 12 oral sucralfat sucralfate A02BX02 sirup 15 ml 45 ml 8 oral RL electrolytes B05BB01 infus parenteral 1 H7 ceftriaxon ceftriaxone J01DD04 injeksi 2 g 4 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
lasix furosemide C03CA01 injeksi 20 mg/2 ml
20 mg/2 ml
24 parenteral
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
lanzoprazol lansoprazole A02BC03 tablet 30 mg 60 mg 12 oral sucralfat sucralfate A02BX02 sirup 15 ml 45 ml 8 oral
cifixim cefixime J01DD08 kapsul 100 mg 200 mg 12 oral
13 AM 36 L struktur uretra ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral 1 H2 sembuh
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
transamin tranexamic acid B02AA02 injeksi 250 mg/5 ml
750 mg/15
ml8 parenteral
14 MZ 25 L ISK RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1 sembuh
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H2
levofloxacin levofloxacin J01MA12 injeksi 5 mg/ml 10 mg/2 12 parenteral
14LAMPIRAN A HASIL PENGUMPULAN DATA
ml
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H3
levofloxacin levofloxacin J01MA12 injeksi 5 mg/ml10
mg/2 ml
12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
15 TJ 70 L colid renal ketorolax ketorolac M01AB15 injeksi 10 mg/ml30
mg/3 ml
8 parenteral 1 H1 sembuh
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml60
mg/3 ml
8 parenteral
ketoprofen ketoprofen M01AE03 injeksi 50 mg/ml100
mg/2 ml
12 parenteral
kaltrofen ketoprofen M01AE03 injeksi 100 mg/2 ml
200 mg/4 ml
12 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/1 ml
60 mg/3 ml
8 parenteral
ciprofloxaxin ciprofloxacin J01MA02 tablet 500 mg 1500 mg 8 oral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H2, H3
ranitidin ranitidine A02BA02 injeksi 50 mg 100 mg 12 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 8 parenteral
15LAMPIRAN A HASIL PENGUMPULAN DATA
ml
ketorolax ketorolac M01AB15 injeksi 30 mg/3 ml
90 mg/9 ml
8 parenteral
NaCl sodium chloride B05XA03 infus 24 parenteral 1 H4
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
ketorolax ketorolac M01AB15 injeksi 10 mg/ml30
mg/3 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
16 SD 25 P ISK RL electrolytes B05BB01 infus 1000 cc : 1000 cc
1000 cc : 1000
cc parenteral 1 H1
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
lapibal mecobalamin B03BA05 injeksi 500 mcg/ml
500 mcg/ml 24 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
1000 cc
1000 cc : 1000
cc parenteral 1 H2
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 8 parenteral
16LAMPIRAN A HASIL PENGUMPULAN DATA
ml
lapibal mecobalamin B03BA05 injeksi 500 mcg/ml
500 mcg/ml 24 parenteral
RL electrolytes B05BB01 infus parenteral 1 H3
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
lapibal mecobalamin B03BA05 injeksi 500 mcg/ml
500 mcg/ml 24 parenteral
RL electrolytes B05BB01 infus 1000 cc : 1000 cc
1000 cc : 1000
cc parenteral 3 H4, H5, H6
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
lapibal mecobalamin B03BA05 injeksi 500 mcg/ml
500 mcg/ml 24 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
17LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
17 TE 21 P
ISK, hipoglike
mi, dehidrasi
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H1
belum sembuh, pulang paksa
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus parenteral 2 H2, H3
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
18LAMPIRAN A HASIL PENGUMPULAN DATA
18 NN 33 P ISK, migran RL:DS electrolytes with
carbohydrates B05BB02 infus parenteral 1 H1 sembuh
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ondansentron ondansetron A04AA01 injeksi 8 mg/4 ml
24 mg/12
ml8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
1000 cc
1000 cc : 1000
cc parenteral 1 H2
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ondansentron ondansetron A04AA01 injeksi 8 mg/4 ml
24 mg/12
ml8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
patral tramadol combinations N02AX52 tablet
tramadol 37,5 mg, paracetamol 325
mg
trimadol 112,5
mg, paracetamol
975 mg
8 oral
19LAMPIRAN A HASIL PENGUMPULAN DATA
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
1000 cc
1000 cc : 1000
cc parenteral 2 H3, H4
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ondansentron ondansetron A04AA01 injeksi 8 mg/4 ml
24 mg/12
ml8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
patral tramadol combinations N02AX52 tablet
tramadol 37,5 mg, paracetamol 325
mg
trimadol 112,5
mg, paracetamol
975 mg
8 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
triptagic sumatriptan N02CC01 tablet 100 mg 100 mg 24 oral
dexantaordinary salt
combinations and antiflatulents
A02AF02 suspensi
Al(OH)3 200 mg, Mg(OH)
2 200 mg,
simethicone 20
mg/5 ml
Al(OH)3 400 mg,
Mg(OH)2 400
mg, simethicone 40 mg/10
ml
12 oral
tofedex dexketoprofen M01AE17 tablet 25 mg 50 mg 12 oral
20LAMPIRAN A HASIL PENGUMPULAN DATA
19 KT 38 P ISK RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H1, H2, H3 belum
sembuh ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
20 MS 26 P ISK RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H1, H2, H3 sembuh
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H4, H5
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
21LAMPIRAN A HASIL PENGUMPULAN DATA
antrain metamizole sodium N02BB02 injeksi 1 g/ 2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/ 2 ml
100 mg/4 ml
12 parenteral
buscopan butylscopolamine A03BB01 injeksi 40 mg/ 2 ml
80 mg/ 4 ml 12 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H6
antrain metamizole sodium N02BB02 injeksi 1 g/ 2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/ 2 ml
100 mg/4 ml
12 parenteral
inj cefotaxim cefotaxime J01DD01 injeksi 1 g 3 g 8 parenteral
buscopan butylscopolamine A03BB01 injeksi 40 mg/ 2 ml
120 mg/ 6
ml8 parenteral
ceftroxan ceftriaxone J01DD04 injeksi 1g 2 g 12 parenteral
mefinal mefenamic acid M01AG01 kapsul 500 mg 1000 mg 12 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
21 TW 39 P ISK, anemia RL electrolytes B05BB01 infus 500 ml/4
jam3000 ml 4 parenteral 1 H1 sembuh
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
mertigo betahistine N07CA01 tablet 6 mg 18 mg 8 oral
pamol paracetamol N02BE01 tablet 500 mg 1000 mg 12 oral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
buscopan butylscopolamine A03BB01 injeksi 40 mg/ 2 ml
80 mg/ 4 ml 12 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H2
22LAMPIRAN A HASIL PENGUMPULAN DATA
buscopan butylscopolamine A03BB01 injeksi 40 mg/ 2 ml
80 mg/ 4 ml 12 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
mertigo betahistine N07CA01 tablet 6 mg 18 mg 8 oral
parasetamol paracetamol N02BE01 tablet 500 mg 1000 mg 12 oral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
22 TH 38 L
ISK, radang
empedu, cholecitis
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1 membai
k
ceftriaxon ceftriaxone J01DD04 injeksi 2 g 2 g 24 parenteral
norages metamizole sodium N02BB02 injeksi 1 g/2 ml 1 g/2
ml 24 parenteral
1 H2
norages metamizole sodium N02BB02 injeksi 1 g/2 ml 1 g/2
ml 24 parenteral
ceftriaxon ceftriaxone J01DD04 injeksi 750 mg 1500 mg 12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
suldox pyrimethamine, sulfadoxine P01BD51 tablet
pyrimethamine 25
mg, sulfadoxi
ne 500 mg
pyrimethamine 25 mg, sulfado
xine 500 mg
24 oral
cefotaxim cefotaxime J01DD01 injeksi 750 mg 1500 mg 12 parenteral 1 H3
pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
23LAMPIRAN A HASIL PENGUMPULAN DATA
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
suldox pyrimethamine, sulfadoxine P01BD51 tablet
pyrimethamine 25
mg, sulfadoxi
ne 500 mg
pyrimethamine 25 mg, sulfado
xine 500 mg
24 oral
cefotaxim cefotaxime J01DD01 injeksi 750 mg 1500 mg 12 parenteral 1 H4
pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
suldox pyrimethamine, sulfadoxine P01BD51 tablet
pyrimethamine 25
mg, sulfadoxi
ne 500 mg
pyrimethamine 25 mg, sulfado
xine 500 mg
24 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
cefadroxil cefadroxil J01DB05 tablet 500 mg 1000 mg 12 oral
buscopan butylscopolamine A03BB01 tablet 10 mg 30 mg 8 oral
23 BH 34 P ISK RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1 membai
k
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
ketorolax ketorolac M01AB15 injeksi 10 mg/ml30
mg/3 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
24LAMPIRAN A HASIL PENGUMPULAN DATA
ondansentron ondansetron A04AA01 injeksi 8 mg/4 ml
24 mg/12
ml8 parenteral
inpepsia sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
braxidin chlordiazepoxide N05BA02 tablet 5 mg 10 mg 12 oral omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
metronidazol metronidazole G01AF01 injeksi500
mg/100 ml
1000 mg/200
ml12 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H2
ondansentron ondansetron A04AA01 injeksi 8 mg/4 ml
24 mg/12
ml8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml60
mg/3 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
vagistin metronidazole, combinations P01AB51 supposito
ria
metronidazole 500
mg, nystatin 100000
iu
metronidazole 1000 mg,
nystatin 200000
iu
12 enteral
inpepsa sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
25LAMPIRAN A HASIL PENGUMPULAN DATA
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H3
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
ondansentron ondansetron A04AA01 injeksi 8 mg/4 ml
24 mg/12
ml8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml60
mg/3 ml
8 parenteral
vagistin metronidazole, combinations P01AB51 supposito
ria
metronidazole 500
mg, nystatin 100000
iu
metronidazole 1000 mg,
nystatin 200000
iu
12 enteral
inpepsia sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
sanprima sulfamethoxazole and trimethoprim J01EE01 tablet
sulfamethoxazole 400 mg, trimethoprim 80
mg
sulfamethoxazole 800 mg,
trimethoprim
160 mg
12 oral
26LAMPIRAN A HASIL PENGUMPULAN DATA
24 MT 36 P ISK , gastritis RL:DS electrolytes with
carbohydrates B05BB02 infus 500 cc : 500 cc
500 cc : 500 cc parenteral 1 H1 membai
k
pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
digoxin digoxin C01AA05 tablet 0,125 mg 0,25 mg 12 oral
sucralfat sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral
RL:DS electrolytes with carbohydrates B05BB02 infus parenteral 1 H2
pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
digoxin digoxin C01AA05 tablet 0,125 mg 0,25 mg 12 oral
sucralfat sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
RL:DS electrolytes with carbohydrates B05BB02 infus parenteral 1 H3
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
omeprazol omeprazole A02BC01 tablet 40 mg 80 mg 12 oral ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
27LAMPIRAN A HASIL PENGUMPULAN DATA
sucralfat sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral
ciprofloxaxin ciprofloxacin J01MA02 tablet 500 mg 1000 mg 12 oral 1 H4
braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral buscopan butylscopolamine A03BB01 tablet 10 mg 20 mg 12 oral
25 SN 63 P ISK O2 oxygen V03AN01 inhaler inhalasi 3 H1, H2, H3
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
sucralfat sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H4
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
vit k vitamin K B02BA injeksi 10 mg/ml20
mg/2 ml
12 parenteral
28LAMPIRAN A HASIL PENGUMPULAN DATA
sucralfat sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
allopurinol allopurinol M04AA01 tablet 300 mg 300 mg 24 oral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H5, H6
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
vit k vitamin K B02BA injeksi 10 mg/ml20
mg/2 ml
12 parenteral
sucralfat sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
allopurinol allopurinol M04AA01 tablet 300 mg 300 mg 24 oral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
ondansentron ondansetron A04AA01 injeksi 20 mg/10 ml
60 mg/30
ml8 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 4 H7, H8,
H9, H10
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
29LAMPIRAN A HASIL PENGUMPULAN DATA
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
vit k vitamin K B02BA injeksi 10 mg/ml20
mg/2 ml
12 parenteral
sucralfat sucralfate A02BX02 sirup 1,5 g/15 ml
4,5 g/45 ml 8 oral
allopurinol allopurinol M04AA01 tablet 300 mg 300 mg 24 oral
braxidin chlordiazepoxide N05BA02 tablet 5 mg 15 mg 8 oral omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
30LAMPIRAN A HASIL PENGUMPULAN DATA
26 HM 35 P
batu buli + ISK, sepsis, colic
abdomen
RL:DS electrolytes with carbohydrates B05BB02 infus parenteral 3 H1, H2, H3 membai
k
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 2 H4, H5
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
allopurinol allopurinol M04AA01 tablet 300 mg 300 mg 24 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
31LAMPIRAN A HASIL PENGUMPULAN DATA
27 HM 35 P
Batu Buli, Kompli:
ISK, Sepsis
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H1
membaik,
diijinkan pulang
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H2
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H3
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Levofloxacin levofloxacin J01MA12 infus500
mg/100 ml
500 mg/100
ml24 parenteral
Allopurinol allopurinol M04AA01 injeksi 300 mg 300 mg 24 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lainIntenational
Nonpropriatory Kode ATC Bentuk Sediaan
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute Lama
pemakaian Mulai
penggunaan KET
32LAMPIRAN A HASIL PENGUMPULAN DATA
Name Obat (hari) (hari ke)
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H4
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
Antrain metamizole sodium N02BB02 injeksi 1g/2 ml 3 g/6
ml 8 parenteral
Levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
Allopurinol allopurinol M04AA01 injeksi 300 mg 300 mg 24 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lainIntenational
Nonpropriatory Kode ATC Bentuk Sediaan
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute Lama
pemakaian Mulai
penggunaan KET
33LAMPIRAN A HASIL PENGUMPULAN DATA
Name Obat (hari) (hari ke)
28 NS 24 PISK,
Thrombositopeni
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H1 diijinkan
pulang
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
Cipofloxacin ciprofloxacin J01MA02 tablet 500 mg 1000 mg 12 oral
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H2
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
Cipofloxacin ciprofloxacin J01MA02 tablet 500 mg 1000 mg 12 oral
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H3
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
Cipofloxacin ciprofloxacin J01MA02 tablet 500 mg 1000 mg 12 oral
Vitamin K vitamin K B02BA injeksi 10 mg/ml30
mg/3 ml
8 parenteral
Kalnex tranexamic acid B02AA02 kapsul 250 mg 750 mg 8 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lainIntenational
Nonpropriatory Kode ATC Bentuk Sediaan
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute Lama
pemakaian Mulai
penggunaan KET
34LAMPIRAN A HASIL PENGUMPULAN DATA
Name Obat (hari) (hari ke)
29 SL 49 P
ISK, Hipertensi
, Appendici
tis, Colesititis
RL : DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H1 diijinkan
pulang
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
RL : DS electrolytes with carbohydrates B05BB02 infus parenteral 1 H2
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
RL : DS electrolytes with carbohydrates B05BB02 infus 4 parenteral
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
35LAMPIRAN A HASIL PENGUMPULAN DATA
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
RL : DS electrolytes with carbohydrates B05BB02 infus 4 parenteral 1 H3
Cefotaxime cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
36LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
30 AZ 51 LCKD,
Batu buli, ISK
futrolit combinations of electrolytes B05XA30 infus parenteral 1 H1 diijinkan
pulang
Norages metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Levovloxacin levofloxacin J01MA12 injeksi 500 mg 500 mg 24 parenteral
Pepsol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral Meloksikam meloxicam M01AC06 tablet 15 mg 30 mg 12 oral
Allopurinol allopurinol M04AA01 tablet 100 mg 200 mg 12 oral
futrolit combinations of electrolytes B05XA30 infus parenteral 1 H2
Norages metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Levofloxacin levofloxacin J01MA12 injeksi 500 mg 500 mg 24 parenteral
Pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral Meloksikam meloxicam M01AC06 tablet 15 mg 30 mg 12 oral
Allopurinol allopurinol M04AA01 tablet 100 mg 200 mg 12 oral
RL : DS electrolytes with carbohydrates B05BB02 infus 4 parenteral 1 H3
Norages metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
Levofloxacin levofloxacin J01MA12 injeksi 500 mg 500 mg 24 parenteral
Meloksikam meloxicam M01AC06 tablet 15 mg 30 mg 12 oral
Allopurinol allopurinol M04AA01 tablet 100 mg 200 mg 12 oral
37LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
31 SB 46 P ISK, Fluur albus inf asering electrolytes B05BB01 infus 500 ml/4
jam3000 ml 4 parenteral 1 H1
Inj Pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
inj ondansentron ondansetron A04AA01 injeksi 4 mg/2
ml
12 mg/6 ml
8 parenteral
sanmag sirup
Mg trisilicate 975 mg, Al(OH)3 975 mg, simethicone 75
mg/15 ml
Mg trisilica
te 2,925
g, Al(OH)3 2,925
g, simethi
cone 225
mg/45 ml
8 oral
fluconazol fluconazole J02AC01 tablet 150 mg 150 mg 24 oral
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H2
Pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
38LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
sanmag sirup
Mg trisilicate 975 mg, Al(OH)3 975 mg, simethicone 75
mg/15 ml
Mg trisilica
te 2,925
g, Al(OH)3 2,925
g, simethi
cone 225
mg/45 ml
8 oral
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H3
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
39LAMPIRAN A HASIL PENGUMPULAN DATA
sanmag sirup
Mg trisilicate 975 mg, Al(OH)3 975 mg, simethicone 75
mg/15 ml
Mg trisilica
te 2,925
g, Al(OH)3 2,925
g, simethi
cone 225
mg/45 ml
8 oral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
fluconazol fluconazole J02AC01 tablet 150 mg 150 mg 24 oral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
32 NA 31 P ISK RL electrolytes B05BB01 infus 1500 cc 1500 cc 24 3 H1, H2, H3 sembuh
ceftriaxon ceftriaxone J01DD04 injeksi 2 g 2 g 24
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12
RL electrolytes B05BB01 infus 1500 cc 1500 cc 24 3 H4, H5, H6
ceftriaxon ceftriaxone J01DD04 injeksi 2 g 2 g 24
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
40LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
33 RF 17 L ISK RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc 12 parenteral 1 H1 sembuh
ceftriaxon ceftriaxone J01DD04 injeksi 2 g 2 g 24 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
ketorolax ketorolac M01AB15 injeksi 10 mg/ml30
mg/3 ml
8 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
Lodia loperamide HCl A07DA03 tablet 2 mg 6 mg 8 oral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc 4 parenteral 1 H2
ceftriaxon ceftriaxone J01DD04 injeksi 2 g 2 g 24 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
lodia loperamide HCl A07DA03 injeksi 8 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc 4 parenteral 1 H3
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
41LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
lodia injeksi 8 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
34 BK 50 L ISK, colic renal RL electrolytes B05BB01 infus parenteral 4 H1, H2 ,
H3, H4
ketorolax ketorolac M01AB15 injeksi 10 mg/ml20
mg/2 ml
12 parenteral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
8 mg/4 ml 12 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
nephrolis 8 oral
35 HL 70 P ISK Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral 4 H1, H2, H3, H4
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
parasetamol paracetamol N02BE01 tablet 500 mg 2000 mg 6 oral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
1000 cc
1000 cc : 1000
cc parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
1000 cc
1000 cc : 1000
cc parenteral 3 H5, H6, H7
42LAMPIRAN A HASIL PENGUMPULAN DATA
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
parasetamol paracetamol N02BE01 tablet 500 mg 2000 mg 6 oral
kluoroquin chloroquine P01BA01 tablet 500 mg 500 mg 24 oral
dexanta sirup 15 ml 45 ml 8 oral
kalnex tranexamic acid B02AA02 injeksi 100 mg/ml
300 mg/3 ml
8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
1000 cc
1000 cc : 1000
cc parenteral 1 H8
ciprofloxacin ciprofloxacin J01MA02 injeksi 200 mg/20 ml
200 mg/20
ml12 parenteral
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
parasetamol paracetamol N02BE01 tablet 500 mg 2000 mg 6 oral
kluoroquin chloroquineP01BA01
tablet 500 mg 500 mg 24 oral
dexanta sirup 15 ml 45 ml 8 oral
kalnex tranexamic acid B02AA02 injeksi 100 mg/ml
300 mg/3 ml
8 parenteral
43LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
36 RD 23 P ISK, gastritis RL electrolytes B05BB01 infus 500 ml/4
jam3000 ml 4 parenteral 1 H1 sembuh
Ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
Norages metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
asering+RL:DS
electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc 4 parenteral 2 H2, H3
ondansentron ondansetron A04AA01 injeksi 8 mg/4 ml
16 mg/8 ml
12 parenteral
sanmol paracetamol N02BE01 tablet 500 mg 500 mg 24 oral
Pepzol pantoprazole A02BC02 injeksi 40 mg 2 g 12 parenteral
dipenhidramin diphenhydramine R06AA02 injeksi 10 mg/10 ml
20 mg/20
ml12 parenteral
44LAMPIRAN A HASIL PENGUMPULAN DATA
sanmag tablet
Mg trisilicate 325 mg, Al(OH)3 325 mg, papaverine HCl 30 mg
Mg trisilicate 975 mg,
Al(OH)3 975 mg,
papaverine HCl 90 mg
8 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
37 SD 55 L ISK RL electrolytes B05BB01 infus 1500 cc 1500 cc 24 parenteral 1 H1 membaik
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
pronalges ketoprofen M01AE03 suppositoria 100 mg 100 mg 24 rektal
RL electrolytes B05BB01 infus 1500 cc 1500 cc 24 parenteral 2 H2, H3
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
pronalges ketoprofen M01AE03 suppositoria 100 mg 100 mg 24 enteral
Pepzol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
38 FH 37 P urosepsis RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc:
1000 cc
1000 cc:
1000 cc parenteral 1 H1
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 1 g/2
ml 24 parenteral
45LAMPIRAN A HASIL PENGUMPULAN DATA
RL:DS electrolytes with carbohydrates B05BB02 injeksi 1000 cc:
1000 cc
1000 cc:
1000 cc parenteral 1 H2
lapirom ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 1 g/2
ml 24 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc:
1000 cc
1000 cc:
1000 cc parenteral 3 H3, H4, H5
lapirom ceftriaxone J01DD04 injeksi 1 g 3 g 8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
39 PH 42 P
acut abdomen,
ISK, stomatitis
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1 membai
k
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ketorolax ketorolac M01AB15 injeksi 30 mg/3 ml
90 mg/9 ml
8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H2, H3, H4
Levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
46LAMPIRAN A HASIL PENGUMPULAN DATA
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antasida antacids A02A sirup 15 ml 45 ml 8 oral
mycostatin drop nystatin A07AA02 suspensi 2 tetes 8 tetes 6 oral
laxamex bisacodyl A06AB02 tablet 5 mg 10 mg 12 oral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc 4 parenteral 1 H5
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antasida antacids A02A sirup 15 ml 45 ml 8 oral
ketorolax ketorolac M01AB15 injeksi 30 mg/3 ml
90 mg/9 ml
8 parenteral
mycostatin drop nystatin A07AA02 suspensi 2 tetes 8 tetes 6 parenteral
47LAMPIRAN A HASIL PENGUMPULAN DATA
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
40 KK 19 P ISK RL:DS electrolytes with carbohydrates B05BB02 infus 500 cc :
500 cc500 cc : 500 cc parenteral 3 H1, H2, H3
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
RL:D5 electrolytes with carbohydrates B05BB02 infus 500 cc :
500 cc500 cc : 500 cc parenteral 2 H4, H5
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
48LAMPIRAN A HASIL PENGUMPULAN DATA
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
dexantaordinary salt
combinations and antiflatulents
A02AF02 tablet
Al(OH)3 200 mg, Mg(OH)
3 200 mg,
simethicone 20
mg
Al(OH)3 600 mg,
Mg(OH)3 600
mg, simethicone 60
mg
8 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
41 SM 37 P ISK, thypus RL:DS electrolytes with
carbohydrates B05BB02 infus 500 cc : 1000 cc
500 cc : 1000 cc 4 parenteral 4 H1, H2,
H3, H4
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 2 g/4
ml 12 parenteral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
4 mg/2 ml 24 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 500 cc :
1000 cc500 cc : 1000 cc 4 parenteral 1 H5
49LAMPIRAN A HASIL PENGUMPULAN DATA
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 2 g/4
ml 12 parenteral
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
4 mg/2 ml 24 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 1000 mg 12 oral
buscopan butylscopolamine A03BB01 tablet 10 mg 20 mg 12 oral
RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc 4 parenteral 1 H6
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 2 g/4
ml 12 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 500 cc :
1000 cc500 cc : 1000 cc 4 parenteral 1 H7
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
lansoprazole lansoprazole A02BC03 tablet 30 mg 60 mg 12 oral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
50LAMPIRAN A HASIL PENGUMPULAN DATA
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 2 g/4
ml 12 parenteral
ondansetron ondansetron A04AA01 injeksi 4 mg/2 ml
8 mg/4 ml 12 parenteral
buscopan butylscopolamine A03BB01 tablet 10 mg 20 mg 12 oral
42 MY 32 L
batu saluran kemih,
komplikasi CKD,
pyelonefritis
lasix furosemide C03CA01 injeksi 20 mg/2 ml
40 mg/4 ml
12 parenteral 3 H3, H4, H5 mati
DS carbohydrates B05BA03 infus 500 cc 500 cc 24 parenteral D5 carbohydrates B05BA03 infus 500 cc 500 cc 24 parenteral 1 H6
lasix furosemide C03CA01 injeksi 20 mg/2 ml
40 mg/4 ml
12 parenteral
micardis telmisartan C09CA07 tablet 80 mg 80 mg 24 oral amlodipin amlodipine C08CA01 tablet 5 mg 5 mg 24 oral D5 carbohydrates B05BA03 infus 500 cc 500 cc 24 parenteral 1 H8
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
transamin tranexamic acid B02AA02 injeksi 250 mg/5 ml
500 mg/10
ml12 parenteral
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral 1 H9
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
asam traneksamat tranexamic acid B02AA02 injeksi 500
mg/10 ml
1500 mg/30
ml8 parenteral
D5 infus 500 cc 500 cc 24 parenteral
51LAMPIRAN A HASIL PENGUMPULAN DATA
lasix furosemide C03CA01 injeksi 20 mg/2 ml
40 mg/4 ml
12 parenteral
dulcolac bisacodyl A06AB02 suppositoria 5 mg 5 mg 24 enteral
D5 infus 500 cc 500 cc 24 parenteral 1 H10 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
asam traneksamat tranexamic acid B02AA02 injeksi 500
mg/10 ml
1500 mg/30
ml8 parenteral
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral 1 H11
D5+Pz electrolytes with carbohydrates B05BB02 infus 500 cc 500 cc 24 parenteral
lasix furosemide C03CA01 injeksi 20 mg/2 ml
40 mg/4 ml
12 parenteral
D5 infus 500 cc 500 cc 24 parenteral 4 H12-H16 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
lasix furosemide C03CA01 injeksi 20 mg/2 ml
40 mg/4 ml
12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
transamin tranexamic acid B02AA02 injeksi 250 mg/5 ml
750 mg/15
ml8 parenteral
amlodipin amlodipine C08CA01 tablet 5 mg 5 mg 24 oral micardis telmisartan C09CA07 tablet 80 mg 80 mg 24 oral ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral 1 H17
lasix furosemide C03CA01 injeksi 20 mg/2 ml
40 mg/4 ml
12 parenteral
52LAMPIRAN A HASIL PENGUMPULAN DATA
Antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
transamin tranexamic acid B02AA02 injeksi 250 mg/5 ml
750 mg/15
ml8 parenteral
43 FT 36 Pbatu buli, nefrolitias
isceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral 2 H1, H2 sembuh
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 500 cc :
1000 cc500 cc : 1000 cc parenteral
antasida antacids A02A sirup 15 ml 45 ml 12 oral ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral 4 H3-H7
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
RL:DS electrolytes with carbohydrates B05BB02 infus 500 cc :
1000 cc500 cc : 1000 cc parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
44 YW 35 P ISK RL:DS electrolytes with carbohydrates B05BB02 infus 1000 cc :
500 cc1000 cc : 500 cc parenteral 1 H1
omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
aminofluid infus parenteral 1 H2
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
53LAMPIRAN A HASIL PENGUMPULAN DATA
ondansentron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
sanmag sirup 15 ml 45 ml 8 oral lanzoprazol lansoprazole A02BC03 kapsul 30 mg 60 mg 12 oral
alprazolam alprazolam N05BA12 tablet 0,25 mg-0-0,5 mg
0,75 mg 12 oral
mertigo betahistine N07CA01 tablet 6 mg 18 mg 8 oral aminofluid infus parenteral 3 H3, H4, H5
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
ondansetron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
sanmag sirup 15 ml 45 ml 8 oral lansoprazol lansoprazole A02BC03 tablet 30 mg 60 mg 12 oral
alprazolam alprazolam N05BA12 tablet 0,25 mg-0-0,5 mg
0,75 mg 12 oral
mertigo betahistine N07CA01 tablet 6 mg 18 mg 8 oral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
45 SM 36 P
groves disease,
impending crisis
thyroid, ISK
RL 5% electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H1, H2, H3
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral propranolol propranolol C07AA05 tablet 20 mg 80 mg 6 oral hepa balance injeksi 8 parenteral
54LAMPIRAN A HASIL PENGUMPULAN DATA
diazepam diazepam N05BA01 injeksi 10 mg/2 ml
15 mg/3 ml
12 parenteral
ottozol pantoprazole A02BC02 injeksi 10 mg 20 mg 12 parenteral
46 IK 34 PISK,
pyelonefritis
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H1, H2 membai
k
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
parasetamol paracetamol N02BE01 tablet 500 mg 2000 mg 6 oral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H3, H4, H5
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
parasetamol paracetamol N02BE01 tablet 500 mg 2000 mg 6 oral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
lansoprazol lansoprazole A02BC03 tablet 30 mg 60 mg 12 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 2 H6, H7
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
parasetamol paracetamol N02BE01 tablet 500 mg 2000 mg 6 oral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
55LAMPIRAN A HASIL PENGUMPULAN DATA
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
amoxicia 12 lansoprazol lansoprazole A02BC03 tablet 30 mg 60 mg 12 oral
metronidazol metronidazole A01AB17 suppositoria
metronidazole 500
mg, nystatin 100000
iu
metronidazole 1000 mg,
nystatin 200000
iu
12 parenteral
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
8 mg/4 ml 12 oral
47 SG 30 LISK tanpa komplikas
iRL electrolytes B05BB01 infus 500 ml 3000
ml 4 parenteral 5 H1-H5 sembuh
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
48 HM 29 P ISK, apendix RL electrolytes B05BB01 infus 500 ml 3000
ml 4 parenteral 7 H1-H7 membaik
broadced ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral pumpitor omeprazole A02BC01 injeksi 20 mg 40 mg 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
49 FR 35 P ISK Pz electrolytes B05BB01 infus 500 ml 3000 ml 4 parenteral 4 H1-H4 sembuh
56LAMPIRAN A HASIL PENGUMPULAN DATA
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 12 parenteral
norages metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
Pz electrolytes B05BB01 infus 500 ml 3000 ml 4 parenteral 1 H5
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 2 g/8 ml 12 parenteral
mefinal mefenamic acid M01AG01 kapsul 250 mg 750 mg 8 oral
50 NN 47 P ISK, anemia RL electrolytes B05BB01 infus 500 ml 3000
ml 4 parenteral 6 H1- H6 sembuh
cefotaxim cefotaxime J01DD01 injeksi 1 g 3 g 8 parenteral
norages metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
51 UF 55 P
primer: ISK,
sepsis, batu buli
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H1 sembuh
sekunder: dispepsia pantropazol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
57LAMPIRAN A HASIL PENGUMPULAN DATA
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H2
pantropazol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H3
pantropazol pantoprazole A02BC02 injeksi 40 mg 80 mg 12 parenteral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H4
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
asering electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H5, H6, H7
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
58LAMPIRAN A HASIL PENGUMPULAN DATA
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
sucralfat sucralfate A02BX02 sirup 0,5 g/5 ml
1,5 g/15 ml 8 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
52 ML 47 Pcystitis, ascites,
batu ginjalPz electrolytes B05BB01 infus 500 ml/4
jam3000 ml 4 parenteral 1 H1
membaik,
pulang paksa
taxegram cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
59LAMPIRAN A HASIL PENGUMPULAN DATA
Pz electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H2
taxegram cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
cefotaxim cefotaxime J01DD01 injeksi 1 g/4 ml 3 g/12 ml 8 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
lasix furosemide C03CA01 injeksi 20 mg/2 ml
60 mg/6 ml
8 parenteral
spironolakton spironolactone C03DA01 tablet 100 mg 200 mg 12 oral
Pz electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 8 H3-H10
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
lasix furosemide C03CA01 injeksi 20 mg/2 ml
60 mg/6 ml
8 parenteral
spironolakton spironolactone C03DA01 tablet 100 mg 200 mg 12 oral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
53 SR 40 P ISK RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H1, H2, H3 membai
k
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
60LAMPIRAN A HASIL PENGUMPULAN DATA
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml60
mg/3 ml
8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
150 mg/6 ml
8 parenteral
ondansetron ondansetron A04AA01 injeksi 8 mg/4 ml
16 mg/8 ml
12 parenteral
levofloxacin levofloxacin J01MA12 tablet 500 mg 500 mg 24 oral
54 TM 45 P
colic abdomen, kolelihasis+hidrouret
er+batu ureter dextra
Pz electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 3 H1, H2, H3 membai
k
ketorolac ketorolac M01AB15 injeksi 10 mg/ml30
mg/3 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
55 LD 21 P ISK RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 4 H1-H4
sembuh, alergi
penicilin ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
61LAMPIRAN A HASIL PENGUMPULAN DATA
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
ondansetron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
antasida antacids A02A sirup 15 ml 45 ml 8 oral
RL electrolytes B05BB01 infus 500 ml/4 jam
3000 ml 4 parenteral 1 H5
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
ondansetron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
56 TS 39 P pyelonefritis, ISK RL electrolytes B05BB01 infus 500 ml/4
jam3000 ml parenteral 3 H1, H2, H3 sembuh
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 3 g 8 parenteral
62LAMPIRAN A HASIL PENGUMPULAN DATA
ketorolac ketorolac M01AB15 injeksi 15 mg/ml30
mg/2 ml
12 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
RL electrolytes B05BB01 infus parenteral 1 H4 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 3 g 8 parenteral
ketorolac ketorolac M01AB15 injeksi 15 mg/ml30
mg/2 ml
12 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
8 mg/4 ml 12 parenteral
vagistin metronidazole, combinations P01AB51 supposito
ria
metronidazole 500
mg, nystatin 100000
iu
metronidazole
500 mg,
nystatin 100000
iu
24 rektal
RL electrolytes B05BB01 infus parenteral 1 H5 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 3 g 8 parenteral
ketorolac ketorolac M01AB15 injeksi 15 mg/ml30
mg/2 ml
12 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
invomit ondansetron A04AA01 injeksi 4 mg/2 ml
8 mg/4 ml 12 parenteral
63LAMPIRAN A HASIL PENGUMPULAN DATA
vagistin metronidazole, combinations P01AB51 supposito
ria
metronidazole 500
mg, nystatin 100000
iu
metronidazole
500 mg,
nystatin 100000
iu
24 rektal
ibuprofen ibuprofen M01AE01 kapsul 400 mg 1200 mg 8 oral
57 SW 57 L ISK RL electrolytes B05BB01 infus parenteral 4 H1-H4 sembuh ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
antrain metamizole sodium N02BB02 injeksi 1 g/2 ml 3 g/6
ml 8 parenteral
transamin tranexamic acid B02AA02 injeksi 100 mg/ml
300 mg/3 ml
8 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
58 PN 44 P ISK ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral 1 H1 sembuh
64LAMPIRAN A HASIL PENGUMPULAN DATA
novafloc ciprofloxacin J01MA02 tablet 100 mg 100 mg 8 oral
dexantaordinary salt
combinations and antiflatulents
A02AF02 tablet
Al(OH)3 200 mg, Mg(OH)
3 200 mg,
simethicone 20
mg
Al(OH)3 600 mg,
Mg(OH)3 600
mg, simethicone 60
mg
8 oral
Pz electrolytes B05BB01 infus parenteral 2 H2, H3 ceftriaxon ceftriaxone J01DD04 injeksi 1 g 2 g 12 parenteral
novafloc ciprofloxacin J01MA02 tablet 100 mg 100 mg 8 oral
dexantaordinary salt
combinations and antiflatulents
A02AF02 tablet
Al(OH)3 200 mg, Mg(OH)
3 200 mg,
simethicone 20
mg
Al(OH)3 600 mg,
Mg(OH)3 600
mg, simethicone 60
mg
8 oral
levofloxacin levofloxacin J01MA12 injeksi500
mg/100 ml
500 mg/100
ml24 parenteral
buscopan butylscopolamine A03BB01 injeksi 20 mg/ml40
mg/2 ml
12 parenteral
omeprazol omeprazole A02BC01 injeksi 40 mg 80 mg 12 parenteral
No Inisial Usia JK Diagnosa Antibiotik dan
Obat lain
Intenational Nonpropriatory
NameKode ATC
Bentuk Sediaan
Obat
Dosis Sekali
Dosis Sehari
Interval (Jam) Rute
Lama pemakaian
(hari)
Mulai penggunaan
(hari ke)KET
59 SP 55 P ISK Pz electrolytes B05BB01 infus 500 cc 500 cc 24 parenteral 1 H1 membai
65LAMPIRAN A HASIL PENGUMPULAN DATA
k
ketorolac ketorolac M01AB15 injeksi 10 mg/ml20
mg/2 ml
12 parenteral
ceftriaxon ceftriaxone J01DD04 injeksi 1 g 3 g 8 parenteral
ondansetron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
Pz electrolytes B05BB01 infus 500 cc 500 cc 24 parenteral 1 H2
ketorolac ketorolac M01AB15 injeksi 10 mg/ml20
mg/2 ml
12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
ondansetron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
Pz electrolytes B05BB01 infus 500 cc 500 cc 24 parenteral 7 H3-H9
ondansetron ondansetron A04AA01 injeksi 4 mg/2 ml
12 mg/6 ml
8 parenteral
ketorolac ketorolac M01AB15 injeksi 10 mg/ml20
mg/2 ml
12 parenteral
ranitidin ranitidine A02BA02 injeksi 50 mg/2 ml
100 mg/4 ml
12 parenteral
ciprofloxacin ciprofloxacin J01MA02 injeksi200
mg/100 ml
600 mg/300
ml8 parenteral
