LACI I NO.
NAMA OBAT
JUMLAH MAKSIMAL
1
ATROPIN SULFAT inj
10 AMPUL
2
NOREPINEFRIN inj
10 AMPUL
3
EFEDRIN inj
10 AMPUL
4
DOPAMIN inj
10 AMPUL
5
DOBUTAMIN inj
10 AMPUL
6
ADRENALIN/EPINEFRIN inj
10 AMPUL
7
DIAZEPAN inj
10 AMPUL
8
MIDAZOLAM inj
10 AMPUL
9
PROPOFOL inj
10 AMPUL
10
LIDOCAIN 2% inj
10 AMPUL
11
CEDOCARD inj
10 AMPUL
12
PERDIPIN inj
10 AMPUL
13
DEXTROSA 40% inj
10 FLACON
14
KCl inj
10 FLACON
15
MORFIN inj
10 AMPUL
16
PETIDIN inj
10 AMPUL
17
MgSO4 40% inj
10 FLACON
18
DIGOXIN inj
10 AMPUL
19
NaCl 3% inf
6 BOTOL
20
FENTANYL inj
10 AMPUL
LACI II NO.
NAMA ALKES
JUMLAH MAKSIMAL
1
ABOCATH 18
4 PIECES
2
ABOCATH 20
4 PIECES
3
ABOCATH 22
4 PIECES
4
ABOCATH 24
4 PIECES
5
ABOCATH 26
4 PIECES
6
DISPO 1 CC
10 PIECES
7
DISPO 3 CC
10 PIECES
8
DISPO 5 CC
10 PIECES
9
DISPO 10 CC
10 PIECES
10
DISPO 20 CC
10 PIECES
11
DISPO 50 CC
10 PIECES
12
DISPO 50 CC TIP
10 PIECES
13
ETT NO. 3
4 PIECES
14
ETT NO. 3,5
4 PIECES
15
ETT NO. 5
4 PIECES
16
ETT NO. 6
4 PIECES
17
ETT NO. 7
4 PIECES
18
ETT NO. 7,5
4 PIECES
19
ELEKTRODA
1 SACHET
20
INFUS SET MAKRO
4 PIECES
21
INFUS SET MIKRO
4 PIECES
22
NGT NO. 16
4 PIECES
23
PERFUSOR
4 PIECES
24
SELANG O2 BAYI
4 PIECES
25
SELANG O2 ANAK
4 PIECES
26
SELANG O2 DEWASA
4 PIECES
27
SUCTION KATETER NO. 12
4 PIECES
28
SUCTION KATETER NO. 14
4 PIECES
29
SUCTION KATETER NO. 16
4 PIECES
30
SUCTION KATETER NO. 18
4 PIECES
31
TRANFUSI SET
4 PIECES
32
THREE AWAY/CONECTA
4 PIECES
LACI III NO.
NAMA OBAT
JUMLAH MAKSIMAL
1
DEX 5% inf
3 BOTOL
2
NaCl 0,9% inf
3 BOTOL
3
RINGER LACTAT inf
3 BOTOL
4
WIDAHES inf
3 BOTOL