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  • Anesthesia drug and equipment usage report

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    Rio Fidrio
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    The document is a report on the usage of drugs and medical equipment for anesthesia operations. It lists 41 items used including medications like amiosin, tranexamic acid, fentanyl and propofol as well as medical equipment like gloves, IV catheters, endotracheal tubes, and suction catheters. For each item it specifies the name, amount used, and includes signatures from those involved including the anesthesia doctor, nurse, and pharmacists.

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    initial asesment

    Original Title

    Initial Assement

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    The document is a report on the usage of drugs and medical equipment for anesthesia operations. It lists 41 items used including medications like amiosin, tranexamic acid, fentanyl and propofol as well as medical equipment like gloves, IV catheters, endotracheal tubes, and suction catheters. For each item it specifies the name, amount used, and includes signatures from those involved including the anesthesia doctor, nurse, and pharmacists.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views6 pages

    Anesthesia drug and equipment usage report

    Uploaded by

    Rio Fidrio
    The document is a report on the usage of drugs and medical equipment for anesthesia operations. It lists 41 items used including medications like amiosin, tranexamic acid, fentanyl and propofol as well as medical equipment like gloves, IV catheters, endotracheal tubes, and suction catheters. For each item it specifies the name, amount used, and includes signatures from those involved including the anesthesia doctor, nurse, and pharmacists.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    of 6

    LAPORAN PEMAKAIAN OBAT DAN ALKES OPERASI ANESTESI LAPORAN PEMAKAIAN OBAT DAN ALKES OPERASI ANESTES

    NAMA PASIEN : NAMA PASIEN :


    TGL. LAHIR : TGL. LAHIR :
    NO.REKAM MEDIK : NO.REKAM MEDIK :
    NO. REGISTRASI : NO. REGISTRASI :
    JENIS ANESTESI : GENERAL / SPINAL ANESTESI / LOKAL JENIS ANESTESI : GENERAL / SPINAL ANESTESI / LOKAL
    TANGGAL OPERASI : TANGGAL OPERASI

    NO NAMA OBAT/ ALKES JUMLAH TERPAKAI KETERANGAN NO NAMA OBAT/ ALKES JUMLAH TERPAKAI

    1. AMIOSIN 1 1. AMIOSIN 1
    2. AS. TRANEXAMAT 2 2. AS. TRANEXAMAT 2
    3. CATAPRES 1 3. CATAPRES 1
    4. DEXAMETHASON 2 4. DEXAMETHASON 2
    5. EPHEDRIN 2 5. EPHEDRIN 2
    6. EPINEPRIN 1 6. EPINEPRIN 1
    7. FENTANYL 2 7. FENTANYL 2
    8. HES 1 8. HES 1
    9. KETOROLAK 1 9. KETOROLAK 1
    10. LIDOCAIN 3 10. LIDOCAIN 3
    11. MARCAIN EPIDURAL 1 11. MARCAIN EPIDURAL 1
    12. MARCAIN SPINAL 2 12. MARCAIN SPINAL 2
    13. METILPREDNISOLON 1 13. METILPREDNISOLON 1
    14. METOCLOPRAMIDE 1 14. METOCLOPRAMIDE 1
    15. NEOSTIGMIN 3 15. NEOSTIGMIN 3
    16. NS 100 1 16. NS 100 1
    17. NS 1000 3 17. NS 1000 3
    18. NS 500 1 18. NS 500 1
    19. ONDANSENTRON 1 19. ONDANSENTRON 1
    20. OXYNORM 3 20. OXYNORM 3
    21. PEHACAIN 3 21. PEHACAIN 3
    22. PETHIDIN 1 22. PETHIDIN 1
    23. PROPOFOL 2 23. PROPOFOL 2
    24. RANITIDIN 1 24. RANITIDIN 1
    25. RL 4 25. RL 4
    26. ROCULAX 2 26. ROCULAX 2
    27. SA 5 27. SA 5
    28. SAGESTAM INJ 1 28. SAGESTAM INJ 1
    29. SEDACUM 1 29. SEDACUM 1
    30. SEVOFLURANCE 30. SEVOFLURANCE
    31. Blood Set 31. Blood Set
    32. Disp 10 CC 32. Disp 10 CC
    33. Disp 3 CC 33. Disp 3 CC
    34. Disp 5 CC 34. Disp 5 CC
    35. ETT 35. ETT
    36. Extension Tube 36. Extension Tube
    37. Glove Steril 8/ 7,5 37. Glove Steril 8/ 7,5
    38. I.V Cath 38. I.V Cath
    39. OPA 39. OPA
    40 Spinocain 40 Spinocain
    41 Suction Catheter 41 Suction Catheter
    Perawat Perawat
    Dokter Anestesi Farmasi Farmasi Dokter Anestesi Farmasi
    Anestesi Anestesi
    TTD : TTD : TTD : TTD : TTD : TTD : TTD :
    OBAT DAN ALKES OPERASI ANESTESI LAPORAN PEMAKAIAN OBAT DAN ALKES OPERASI ANESTESI

    NAMA PASIEN :
    TGL. LAHIR :
    NO.REKAM MEDIK :
    NO. REGISTRASI :
    / SPINAL ANESTESI / LOKAL JENIS ANESTESI : GENERAL / SPINAL ANESTESI / LOKAL
    TANGGAL OPERASI :
    KETERANGAN NO NAMA OBAT/ ALKES JUMLAH TERPAKAI KETERANGAN

    1. AMIOSIN 1
    2. AS. TRANEXAMAT 2
    3. CATAPRES 1
    4. DEXAMETHASON 2
    5. EPHEDRIN 2
    6. EPINEPRIN 1
    7. FENTANYL 2
    8. HES 1
    9. KETOROLAK 1
    10. LIDOCAIN 3
    11. MARCAIN EPIDURAL 1
    12. MARCAIN SPINAL 2
    13. METILPREDNISOLON 1
    14. METOCLOPRAMIDE 1
    15. NEOSTIGMIN 3
    16. NS 100 1
    17. NS 1000 3
    18. NS 500 1
    19. ONDANSENTRON 1
    20. OXYNORM 3
    21. PEHACAIN 3
    22. PETHIDIN 1
    23. PROPOFOL 2
    24. RANITIDIN 1
    25. RL 4
    26. ROCULAX 2
    27. SA 5
    28. SAGESTAM INJ 1
    29. SEDACUM 1
    30. SEVOFLURANCE
    31. Blood Set
    32. Disp 10 CC
    33. Disp 3 CC
    34. Disp 5 CC
    35. ETT
    36. Extension Tube
    37. Glove Steril 8/ 7,5
    38. I.V Cath
    39. OPA
    40 Spinocain
    41 Suction Catheter
    Perawat
    Farmasi Dokter Anestesi Farmasi Farmasi
    Anestesi
    TTD : TTD : TTD : TTD : TTD :

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