Icu.docx

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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

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