PEMERINTAH KABUPATEN PANDEGLANG

RUMAH SAKIT UMUM BERKAH

Jl. Raya Labuan Km. 05 Cikoneng Pandeglang Telp. ( 0253 ) 201963 Pandeglang

RINCIAN PEMAKAIAN ALKES / OBAT DEPO IBS

NAMA PASIEN :
TANGGAL OPERASI :
PAKET ANASTESI PAKET BEDAH
NO NAMA OBAT/ALKES JLH
1 REGIVEL / BUCAIN / QUANOCAIN
2 SPINOCAN 25 / 26 / 27
3 RECOFOL // LEVICA
4 SEDACUM / STESOLID
5 FENTANYL / ETANYL
6 PETHIDIN / MORFINA
7 EPHEDRINE HCL
8 TRAMADOL / TRAMAL SUPP
9 KETAMINE / KTM / IVANES
10 TRAMUS / ROCUM / ROCURONIUM
11 CEFOTAXIME / CEFTRIAXONE
12 RANITIDIN / ONDANSETRON
13 METOCLOPRAMID
14 CATAPRES
15 KETOROLAC / TOFEDEX
16 EPHINEPRIN / RAIVAS
17 DEXAMETHASONE / MP 125
18 NEOSTIGMINE // ATROPIN SULFAS
19 DIPHENHYDRAMINE
20 LIDOCAINE HCL 2% // PEHACAIN
21 ASAM TRANEXAMAT
22 GENTAMICIN SULFATE
23 PROTOFEN SUPP
24 PROPYRETIC 80 SUPP
25 RINGER LACTATE / FUTROLIT
26 ASERING / RINGER FUNDIN
27 WIDAHES / GELAFUSAL
28 METRO INF / PCT INF
29 GLUKOSA 5% / 10%
30 FUROSEMIDE
31 OXYTOCIN / METHYLERGO
32 NICARDIPINE / DOBUJECT
33 E T T ...........
34 SPUIT 1 / 3 / 5 / 10 / 20 / 50

35 SUCTION CATHETER...........
36 AQUABIDEST
37 CANULA O2 ADULT / CHILD / NEONATE
38 GUEDEL ...............
39 ABBOCATH /CATHY/POLYWIN........
40 CERTOFIX // PERIFIX
41 LMA 1 / 1.5 / 2 / 2.5 / 3 / 4
42 ...............................
43 ...............................
44 ...............................

Penata / Dokter Anastesi

( ......................... / .......................... )
Farmasi
( ........................... )
MERINTAH KABUPATEN PANDEGLANG
RUMAH SAKIT UMUM BERKAH
Raya Labuan Km. 05 Cikoneng Pandeglang Telp. ( 0253 ) 201963 Pandeglang

IAN PEMAKAIAN ALKES / OBAT DEPO IBS

PAKET BEDAH
NAMA OBAT/ALKES JLH
ASSUCRYL 0 HRG 38 / 1 HRG 45 / 1 HRG 50 / 2 HRG 50
ASSUCRYL 2.0 HRG 38 / 2.0 HR 27 / 2.0 TS 27 / 3.0 HR 27 / 3.0 TS 27
CATGUT CHROMIC 0 HRG 38 / 1 HRG 40 / 2 HRG 50
CATGUT CHROMIC 2.0HRG 38 / 2.0 HRG 40 / 2.0 HR 27
CATGUT CHROMIC 3.0 HR 27 / 4.0 HR 17 / 4.0 TS 19
CATGUT PLAIN 3.0 HR 27
POLYPROPYLENE 0 HRG 38 / 1 HR 38 / 2.0 HR 27 // 5.0
POLYPROPYLENE 1 HS 38 / 3.0 TS 28 / 1 HRG 38 / 3.0 TS 28
SILK 1 HRG 38 / 2 HRG / 2.0 HR 27 / 2.0 TS 27
SILK 3.0 HR 27 / 4.0 HR 17 / SILK O
NYLON 2/0 TS 27 / 3/0 TS 19 / 4/0 / 5/0 / 6/0 / 7/0
B / BRAUN ............................
MONOSYN 1 HR 48 / MONOSYN 3/0 DS 24
PREMILENE 3/0 // PREMILENE 2/0 //PREMILENE MESH
SAFIL 0 HR 40s / 1 HR 48 / 2.0 HR 37s / 2 HR 48
SAFIL 3.0 DS 24 / 3.0 HR 26 / 2.0 DS 24
CATGUT 2.0 HR 37 / 3.0 HR 26 / 0 / 1 / 2
T R I T O N ...............................
T-BOND
T-CHROMIC 0 / 1 / 2 / 2.0 HR 25 / 2.0 HR 35 / 3.0
T-VIO 0 / 2.0 HR 25 - HR 35 / 3.0 ● / 1 ● / 1 Δ / 4.0 / 2 / 3.0 Δ
T-LENE 2.0 / 3.0 / 4.0 / 5.0 / 6.0 / 7.0
T-SILK 1 / 0 / 2.0 TAPER / 2.0 CUTING / 3.0 TAPER
T-MONO 1 / 3.0 / 4.0
T-HERNIA 6X10 / 15X15 / 30X30 / T-HEMOCEL
COVIDIEN .....................................
COVIDIEN..CHROMIC GUT 0 / 1 / 2 / 2.0 HR 26-HR 37 / 3.0 / 4.0
COVIDIEN..BIOSYN 1 / 3.0
COVIDIEN..SURGIPRO 0 / 1 / 2.0 / 3.0
COVIDIEN..POLYSORB 1 / 2.0 / 0 / 3.0 cutting / 3.0 taper
COVIDIEN..SOFSILK 0 / 1 / 2.0 taper / 3.0 / 2 / 2.0 cutting
COVIDIEN..DERMALON 2.0 / 3.0
BISTURI 10 / 11 / 15 / 20 / 22 / 24
FOLLEY CATHETER 2 WAY.. 6 / 8 / 10 / 12 / 14 / 16 / 18
FOLLEY CATHETER 3 WAY ... 22 / 24 /// URINE BAG
NGT.. 3.5 / 5 / 8 / 10 / 12 / 14 / 16 / 18
SPUIT 1 / 3 / 5 / 10 / 20 / 50 / CATHETER TIP 50 ML
SET MAKRO // MIKRO // INTRAFIX
INFUSION
TRANSFUSION SET / BLOOD SET
DARYANTUL / LYOSTYPT / CUTICELL
COUTER //UNDER PAD // LEUKOMED T-PLUS
XYLOCAINE JELLY // CATHEJELL
UNIFLEX 3 / 4 / 6 // NaCl 0.9 % 500 ML

Perawat instrumen / Dokter Operator

........................................./...........................................
Farmasi
( ........................... )