DOBUTAMIN

PENGPLOS (cc) 50 cc
SEDIAAN (mCg/amp) 250000 1 Amp

BB (kg) 90 kg
DOSIS (mCg/kgBB/mnt) KECEPATAN (cc/jam)

1 1.1
2 2.2
3 3.2
4 4.3
5 5.4
6 6.5
7 7.6
8 8.6
9 9.7
10 10.8
 DOPAMIN
PENGPLOS (cc) 50 cc
SEDIAAN (mCg/amp) 200000 1 Amp
BB (kg) 80 kg
DOSIS KECEPATAN
(mCg/kgBB/mnt) (cc/jam)
1 1.2
2 2.4
3 3.6
4 4.8
5 6.0
6 7.2
7 8.4
8 9.6
9 10.8
10 12.0
11 13.2
12 14.4
13 15.6
15 18.0
16 19.2
17 20.4
18 21.6
19 22.8
20 24.0
 NOREPINEPHRINE
PENGPLOS (cc) 50 cc
SEDIAAN (mCg/amp) 4000 1 Amp

BB (kg) 60 kg
KECEPATAN
DOSIS (mCg/kgBB/mnt)
(cc/jam)
0.025 1.1
0.05 2.3
0.1 4.5
0.2 9.0
0.3 13.5
0.4 18.0
0.5 22.5
0.6 27.0
0.7 31.5
0.8 36.0
0.9 40.5
1 45.0
 NICARDIPINE
PENGPLOS (cc) 50 cc
SEDIAAN (mCg/amp) 10000 1 Amp

BB (kg) 90 kg
DOSIS (mCg/kgBB/mnt) KECEPATAN (cc/jam)

0.1 2.7
0.2 5.4
0.3 8.1
0.4 10.8
0.5 13.5
1 27
1.5 40.5
2 54
2.5 67.5
3 81
3.5 94.5
4 108
4.5 121.5
5 135
 DILTIAZEM
PENGPLOS (cc) 50 cc
SEDIAAN (mCg/amp) 25000 1 Amp

BB (kg) 60 kg
DOSIS (mCg/kgBB/mnt) KECEPATAN (cc/jam)

0.5 3.6
1 7.2
1.5 10.8
2 14.4
2.5 18
3 21.6
3.5 25.2
4 28.8
4.5 32.4
5 36
 PAKET INTUBASI + CVC
Nama Pasien : tn.mulyanang JAM PERMINTAAN : 15.00
Ruangan : icu
Nomor RM : 16041348

JUMLAH JUMLAH
NO RESEP DIMINTA DIDAPAT TERPAKAI RETURN
1 ETT NO. …........................ 1
2 CVC NO….......................... 1
3 BREATHING CIRCUIT *ADULT / PEDIATRIC 1
4 ELBOW CONECTOR 1
5 BACTERIAL FILTER 2
6 CLOSE SUCTION SET *NO.12 / NO. 14 1
7 SUCTION CATH *NO. 12 / NO. 14 / NO. 16 2
8 NGT *NO. 14 / NO.16 1
9 OPA/MAYO HIJAU 1
10 HANDSCOON STERIL *NO. 7,5 / NO. 7,0 1
11 GAUN STERIL 1
12 UNDER PAD 2
13 KASSA BOX STERIL 1
14 DERMAFIX 2
15 AQUABIDEST 5
16 T.SILK NO. 3,0 1
17 SPUIT 50CC LUBANG KECIL 1
18 SPUIT 50 CC LUBANG BESAR 1
19 SPUIT 3CC/5CC/10CC *5/5/5
20 WIDA WI 1000ML 1
21 MEDITRES 5
22 EXTENTION TUBE 3
23 THREE WAY 3
24 SALEP MATA 1
25 ASEPTIC LIQUID + SPONGE 1
26 CYRUS NEBULIZER 1
27 NOTRIXUM 1
28 NOVERON 1
29 MIDAZOLAM/MILOZ 5
30 PROPOFOL 1
31 TIOPOL 1
32 ETANYL 5
33 LIDOCAINE 1
34 KETAMINE 1
35
*lingkari yang dibutuhkan
TGL, …..... / …..... / 2023
*RESEP BILA TERPAKAI Mengetahui,

PETUGAS FARMASI PETUGAS RUANGAN