Kitir Ok 2022 Terbaruuu Banget
Kitir Ok 2022 Terbaruuu Banget
Kitir Ok 2022 Terbaruuu Banget
No RM :
PAKET SC (dr.Daniel Sp.Og)
26 Oksigen .........ltr
27 Aquabidest 25 ml 1 Flacon
28 Atropine Sulfate 0,25 mg 2 Amp
29 Epinephrine 50 mg 1 Amp
30 Lidocaine HCI 40 mg 3 Amp
31 Miloz 5 mg 1 Amp
32 Propofol 200 mg 1 Vial
33 Rocuronium 5 mg 1 Amp
34 Fentanyl 100 mcg 2 Amp
35 Pethidin HCI 100 mg 1 Amp
36 Morphine 10 mg 1 Amp
37 Metoclopramide 1 Amp
38 Ketorolac 30 mg 1 Amp
39 Antrain 500 mg 1 Amp
40 Neostigmine 0,5 mg 2 Amp
41 Aminophylline 240 mg 1 Amp
42 Ondansetron 4 mg 1 Amp
43 Ranitidine 50 mg 1 Amp
44 Dexamethasone 5 mg 2 Amp
45 Iphadryl 10 mg 1 Amp
46 Asam Traneksamat 500 mg 2 Amp
47 Phytomenadione 10 mg 1 Amp
48 Ca Gluconas 10% 1 Amp
49 Ropivel 150 mg /Regivel 1 Amp
50 Farsix 20 mg 2 Amp
51 Oxytocin 10 iu 10 Amp
52 Metvell 0,2 mg 2 Amp
53 Epedrine 1 amp
54 Granisetron 1 amp
55 WIDAHES 130 1 Flash
56 Ringer Laktat 500 cc 4 Flash
57 NaCl 0,9% 500 cc 3 Flash
58 Elektroda EKG0 3 Biji
59 Spinocan no 26/27 @1 Buah
60 Spuit no 3 cc/5 cc/10 cc @4 Buah
61 Dexketoprofen inj 1 Amp
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET SC (dr.Novi Sp.Og)
Obat Anestesi
1 Oksigen .........ltr
2 Aquabidest 25 ml 1 Flacon
3 Atropine Sulfate 0,25 mg 2 Amp
4 Epinephrine 50 mg 1 Amp
5 Lidocaine HCI 40 mg 3 Amp
6 Miloz 5 mg 1 Amp
7 Propofol 200 mg 1 Vial
8 Epedrine 1 Amp
9 Fentanyl 100 mcg 2 Amp
10 Tramus 25 mg 2 Amp
11 Morphine 10 mg 1 Amp
12 Pethidin HCI 50mg 1 Amp
13 Ketorolac 30 mg 1 Amp
14 Antrain 500 mg 1 Amp
15 Neostigmine 0,5 mg 2 Amp
16 Aminophylline 240 mg 1 Amp
17 Ondansetron 4 mg 1 Amp
18 Ranitidine 50 mg 1 Amp
19 Dexamethasone 5 mg 2 Amp
20 Iphadryl 10 mg 1 Amp
21 Asam Traneksamat 500 mg 2 Amp
22 Phytomenadione 10 mg 1 Amp
23 Rocuronium 5 mg 1 Vial
24 Ropivel 150 mg /Regivel 1 Amp
25 Farsix 20 mg 2 Amp
26 Udopa 200 mg 1 Amp
27 Ca Gluconas 10% 1 Amp
28 Granisetron 1 Amp
29 Ringer Laktat 500 cc 4 Flash
30 NaCl 0,9% 500 cc 2 Flash
31 WIDAHES 130 1 Flash
32 Elektroda EKG 3 Biji
33 Spinocan no 26/27 @1 Buah
34 Spuit no 3 cc/5 cc/10 cc @4 Buah
35 Dexketoprofen inj 1 Amp
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET LAPARATOMY KABER (dr.Novi Sp.Og)
Obat Anestesi
1 Oksigen .........ltr
2 Aquabidest 25 ml 1 Flacon
3 Atropine Sulfate 0,25 mg 2 Amp
4 Epinephrine 50 mg 1 Amp
5 Lidocaine HCI 40 mg 3 Amp
6 Miloz 5 mg 1 Amp
7 Propofol 200 mg 1 Vial
8 Epedrine 1 Amp
9 Fentanyl 100 mcg 2 Amp
10 Tramus 25 mg 2 Amp
11 Morphine 10 mg 1 Amp
12 Pethidin HCI 50mg 1 Amp
13 Ketorolac 30 mg 1 Amp
14 Antrain 500 mg 1 Amp
15 Neostigmine 0,5 mg 2 Amp
16 Aminophylline 240 mg 1 Amp
17 Ondansetron 4 mg 1 Amp
18 Ranitidine 50 mg 1 Amp
19 Dexamethasone 5 mg 2 Amp
20 Iphadryl 10 mg 1 Amp
21 Asam Traneksamat 500 mg 2 Amp
22 Phytomenadione 10 mg 1 Amp
23 Rocuronium 5 mg 1 Vial
24 Ropivel 150 mg /Regivel 1 Amp
25 Farsix 20 mg 2 Amp
26 Udopa 200 mg 1 Amp
27 Ca Gluconas 10% 1 Amp
28 Granisetron 1 Amp
29 Ringer Laktat 500 cc 4 Flash
30 NaCl 0,9% 500 cc 2 Flash
31 WIDAHES 130 1 Flash
32 Elektroda EKG 3 Biji
33 Spinocan no 26/27 @1 Buah
34 Spuit no 3 cc/5 cc/10 cc @4 Buah
35 Dexketoprofen inj 1 Amp
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET LAPARATOMY KABER (dr.Zaki Sp.Og)
Obat Anestesi
1 Oksigen ........ltr
2 Aquabidest 25 ml 1 Flacon
3 Atropine Sulfate 0,25 mg 2 Amp
4 Epinephrine 50 mg 1 Amp
5 Lidocaine HCI 40 mg 3 Amp
6 Miloz 5 mg 1 Amp
7 Propofol 200 mg 1 Vial
8 Epedrine 1 Amp
9 Fentanyl 100 mcg 2 Amp
10 Tramus 25 mg 2 Amp
11 Morphine 10 mg 1 Amp
12 Pethidin HCI 50mg 1 Amp
13 Ketorolac 30 mg/ Dekxketop @1 Amp
14 Antrain 500 mg 1 Amp
15 Neostigmine 0,5 mg 2 Amp
16 Aminophylline 240 mg 1 Amp
17 Ondansetron 4 mg 1 Amp
18 Ranitidine 50 mg 1 Amp
19 Dexamethasone 5 mg 2 Amp
20 Iphadryl 10 mg 1 Amp
21 Asam Traneksamat 500 mg 2 Amp
22 Phytomenadione 10 mg 1 Amp
23 Epedrine 1 Amp
24 Ropivel 150 mg /Regivel 1 Amp
25 Farsix 20 mg 2 Amp
26 Ca Gluconas 10% 1 Amp
27 Metoclopramide 1 Amp
28 Granisetron 1 Amp
29 Ringer Laktat 500 cc 4 Flash
30 NaCl 0,9% 500 cc 3 Flash
31 WIDAHES 130 1 Flash
32 Elektroda EKG 3 Biji
33 Spinocan no 26/27 @1 Buah
34 Spuit no 3 cc/5 cc/10 cc @4 Buah
35 Deksketoprofen 1 amp
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET PAKET STT (dr.Arif Sp.B)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 25 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg 1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Farsix 20 mg 2 Amp
25 Phytomenadione 10 mg 1 Amp
26 Levica 50 mg 1 Amp
27 Ropivel 150 mg /Regivel 1 Amp
28 Rocuronium 1 Amp
29 Granisetron 1 Amp
30 Spinocan no 26/27 @1 Buah
31 Elektroda EKG 3 Biji
32 Ringer Laktat 500 cc 3 Flash
33 NaCl 0,9% 500 cc 2 Flash
34 Spuit no 3 cc/5 cc/10 cc @3 Buah
35 ETT no 6,5/ 7/ 7,5 @1 Buah
36 Mayo Kuning/ Hijau @1 Buah
37 Suction Catheter no 12 1 Buah
38 3 way Extention 1 Buah
39 Dexketoprofen inj 1 Amp
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET STT (dr.Prima Sp.B, Onk)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg @1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Farsix 20 mg 2 Amp
25 Phytomenadione 10 mg 1 Amp
26 Levica 50 mg 1 Amp
27 Ropivel 150 mg /Regivel 1 Amp
28 Rocuronium 1 Amp
29 Granisetron 1 Amp
30 Spinocan no 26/27 @1 Buah
31 Elektroda EKG 3 Biji
32 Ringer Laktat 500 cc 3 Flash
33 NaCl 0,9% 500 cc 3 Flash
34 Spuit no 3 cc/5 cc/10 cc @3 Buah
35 ETT no 6,5/ 7/ 7,5 @1 Buah
36 Mayo Kuning/ Hijau @1 Buah
37 Suction Catheter no 12 1 Buah
38 3 Way Extention 1 Buah
39 Deksketoprofen 1 amp
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET DEBRIDEMENT(dr.Arif Sp.B)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Rocuronium 5 mg 1 Vial
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Pethidin HCI 100 mg 1 Amp
14 Ketorolac 30 mg 1 Amp
15 Antrain 500 mg 1 Amp
16 Neostigmine 0,5 mg 2 Amp
17 Aminophylline 240 mg 1 Amp
18 Ondansetron 4 mg 1 Amp
19 Ranitidine 50 mg 1 Amp
20 Dexamethasone 5 mg 2 Amp
21 Iphadryl 10 mg 1 Amp
22 Asam Traneksamat 500 mg 2 Amp
23 Metoclopramide 1 Amp
24 Granisetron 1 Amp
25 3 Way Extention 1 Amp
26 Mayo Hijau 1 Buah
27 Elektroda EKG 3 Biji
28 Ringer Laktat 500 cc 4Flash
29 NaCl 0,9% 500 cc 3 Flash
30 WIDAHES 130 1 Flash
31 Spuit no 3 cc/5 cc/10 cc @3 Buah
32 ETT no 6,5/ 7/ 7,5 @1 Buah
33 Suction Catheter no 12 1 Buah
34 Dexketoprofen inj 1 amp
35 Regivel 1 amp
Petugas OK Petugas Anestesi Petugas ApotikJember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET CA MAMMAE (dr.Chyntia Sp.B)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Rocuronium 5 mg 1 Vial
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Pethidin HCI 100 mg 1 Amp
14 Ketorolac 30 mg 1 Amp
15 Antrain 500 mg 1 Amp
16 Neostigmine 0,5 mg 2 Amp
17 Aminophylline 240 mg 1 Amp
18 Ondansetron 4 mg 1 Amp
19 Ranitidine 50 mg 1 Amp
20 Dexamethasone 5 mg 2 Amp
21 Iphadryl 10 mg 1 Amp
22 Asam Traneksamat 500 mg 2 Amp
23 Metoclopramide 1 Amp
24 Granisetron 1 Amp
25 Suction Catheter no 12 1 Buah
26 Mayo Hijau 1 Buah
27 Elektroda EKG 3 Biji
28 Ringer Laktat 500 cc 4Flash
29 NaCl 0,9% 500 cc 3 Flash
30 WIDAHES 130 1 Flash
31 Spuit no 3 cc/5 cc/10 cc @3 Buah
32 ETT no 6,5/ 7/ 7,5 @1 Buah
33 3 Way Extention 1 Buah
34 Dexketoprofen inj
35 Regivel
Petugas OK Petugas Anestesi Petugas ApotikJember, ...........20....
Nama : Tanggal Lahir :
No RM :
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Rocuronium5 mg 1 Vial
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg 1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Metoclopramide 1 Amp
25 Granisetron 1 Amp
26 3 Way/ Extention 1/1Buah
27 Elektroda EKG 3 Biji
28 Ringer Laktat 500 cc 4 Flash
29 NaCl 0,9 % 500 cc 3 Flash
30 WIDAHES 130 1 Flash
31 Spuit no 3 cc/5 cc/10 cc @3 Buah
32 ETT non king 6,5/ 7/ 7,5 @1 Buah
33 Mayo Kuning/ Hijau @1 Buah
34 Suction Catheter 12 1 Buah
35 Dexketoprofen inj 1 Amp
36 Rocuronium 1 Vial
37 Regivel
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET STRUMA (dr. Prima Sp.B, Onk)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Pethidin HCI 100 mg 1 Amp
14 Ketorolac 30 mg/ Dexketop @1 Amp
15 Antrain 500 mg 1 Amp
16 Neostigmine 0,5 mg 2 Amp
17 Aminophylline 240 mg 1 Amp
18 Ondansetron 4 mg 1 Amp
19 Ranitidine 50 mg 1 Amp
20 Dexamethasone 5 mg 2 Amp
21 Iphadryl 10 mg 1 Amp
22 Asam Traneksamat 500 mg 2 Amp
23 Farsix 20 mg 2 Amp
24 Phytomenadione 10 mg 1 Amp
25 Granisetron 1 Amp
26 Elektroda EKG 3 Biji
27 Ringer Laktat 500 cc 4 Flash
28 NaCl 0,9% 500 cc 3 Flash
29 WIDAHES 130 1 Flash
30 Spuit no 3 cc/5 cc/10 cc @3 Buah
31 ETT non king 6,5/ 7/ 7,5 @1 Buah
32 Mayo Kuning/ Hijau @1 Buah
33 Suction Catheter 12 1 Buah
34 3 Way/ Extention 1/1 Buah
35 Deksketoprofen 1 amp
36 Rocuronium/Regivel 1 Vial
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET STRUMA (dr. Chyntia Sp.B)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg 1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Farsix 20 mg 2 Amp
25 Phytomenadione 10 mg 1 Amp
26 Granisetron 1 Amp
27 Deksketoprofen 1 amp
28 Elektroda EKG 3 Biji
29 Ringer Laktat 500 cc 4 Flash
30 NaCl 0,9% 500 cc 3 Flash
31 WIDAHES 130 1 Flash
32 Spuit no 3 cc/5 cc/10 cc @3 Buah
33 ETT non king 6,5/ 7/ 7,5 @1 Buah
34 Mayo Kuning/ Hijau @1 Buah
35 Suction Catheter 12 1 Buah
36 3 Way/ Extention 1/1 Buah
37 Rocuronium/Regivel 1 Vial
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET LAPARATOMY(dr.Arif Sp.B)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg 1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Farsix 20 mg 2 Amp
25 Phytomenadione 10 mg 1 Amp
26 Granisetron/Regivel 1 Amp
27 Deksketoprofen 1 amp
28 Elektroda EKG 3 Biji
29 Ringer Laktat 500 cc 4 Flash
30 NaCl 0,9% 500 cc 3 Flash
31 WIDAHES 130 1 Flash
32 Spuit no 3 cc/5 cc/10 cc @3 Buah
33 ETT no 6,5/ 7/ 7,5 @1 Buah
34 Mayo Kuning/ Hijau @1 Buah
35 Suction Catheter no 12 1 Buah
Petugas OK Petugas Anestesi Petugas ApotikJember, ...........20.........
Nama : Tanggal Lahir :
No RM :
PAKET LAPARATOMY (dr. Cyhntia Sp. B)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg 1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Farsix 20 mg 2 Amp
25 Phytomenadione 10 mg 1 Amp
26 Levica 50 mg 1 Amp
27 Ropivel 150 mg /Regivel 1 Amp
28 Granisetron 1 Amp
29 Deksketoprofen 1 amp
30 Spinocan no 25/26 @1 Buah
31 Elektroda EKG 3 Biji
32 Ringer Laktat 500 cc 4 Flash
33 NaCl 0,9% 500 cc 3 Flash
34 WIDAHES 130 1 Flash
35 Spuit no 3 cc/5 cc/10 cc @3 Buah
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET BPH (dr.Prima Sp.B, onk)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg 1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Farsix 20 mg 2 Amp
25 Phytomenadione 10 mg 1 Amp
26 Levica 50 mg 1 Amp
27 Ropivel 150 mg /Regivel 1 Amp
28 Granisetron 1 Amp
29 Deksketoprofen 1 amp
30 Spinocan no 25/26 @1 Buah
31 Elektroda EKG 3 Biji
32 Ringer Laktat 500 cc 4 Flash
33 NaCl 0,9% 500 cc 3 Flash
34 WIDAHES 130 1 Flash
35 Spuit no 3 cc/5 cc/10 cc @3 Buah
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
Nama : Tanggal Lahir :
No RM :
PAKET BPH (dr.Chyntia Sp.B)
Obat Anestesi
1 Oksigen ........ltr
2 Isoflurane USP 100% ........ml
3 Aquabidest 25 ml 1 Flacon
4 Atropine Sulfate 0,25 mg 2 Amp
5 Ephedrine HCI 50 mg 1 Amp
6 Epinephrine 50 mg 1 Amp
7 Lidocaine HCI 40 mg 2 Amp
8 Ketamine HCI 50 mg 1 Amp
9 Miloz 5 mg 1 Amp
10 Propofol 200 mg 1 Vial
11 Fentanyl 100 mcg 2 Amp
12 Tramus 25 mg 2 Amp
13 Morphine 10 mg 1 Amp
14 Pethidin HCI 100 mg 1 Amp
15 Ketorolac 30 mg @1 Amp
16 Antrain 500 mg 1 Amp
17 Neostigmine 0,5 mg 2 Amp
18 Aminophylline 240 mg 1 Amp
19 Ondansetron 4 mg 1 Amp
20 Ranitidine 50 mg 1 Amp
21 Dexamethasone 5 mg 2 Amp
22 Iphadryl 10 mg 1 Amp
23 Asam Traneksamat 500 mg 2 Amp
24 Farsix 20 mg 2 Amp
25 Phytomenadione 10 mg 1 Amp
26 Levica 50 mg 1 Amp
27 Ropivel 150 mg /Regivel 1 Amp
28 Rocuronium 1 Amp
29 Granisetron 1 Amp
30 Spinocan no 26/27 @1 Buah
31 Elektroda EKG 3 Biji
32 Ringer Laktat 500 cc 3 Flash
33 NaCl 0,9% 500 cc 3 Flash
34 Spuit no 3 cc/5 cc/10 cc @3 Buah
35 ETT no 6,5/ 7/ 7,5 @1 Buah
36 Mayo Kuning/ Hijau @1 Buah
37 Suction Catheter no 12 1 Buah
38 3 Way Extention 1 Buah
39 Deksketoprofen 1 amp
Petugas OK Petugas Anestesi Petugas Apotik Jember, ...........20....
ACC BENANG