RENCANA KEBUTUHAN OBAT (RKO) PELAYANAN KESEHATAN DASAR

UNIT PELAYANAN KESEHATAN (PUSKESMAS ) TAHUN 2016

PUSKESMAS TUKDANA Alokasi : 2016
PEMAKAIAN
SISA STOK 31 JUMLAH RENCANA
RATA2/BULAN
NO NAMA OBAT SATUAN OKTOBER KEBUTUHAN KEBUTUHAN
NOV 15 –
2015 TAHUN 2016 TAHUN 2016
OKT15
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1 Alopurinol Tab 100 mg Ampul
2 Aminopilin Tab 200 mg Tablet
3 Aminofilina Injek 24 mg/ml Ktk 30 amp x 10 ml
4 Amitriptilin Tab salut 25 mg ( HCL ) Dus10 Strip @10 tbt
5 Amoksilin Kapsul/ kaplet 250 mg Ktk 12 x10 kapsul
6 Amoksilin Kaplet / Kapsul 500 mg Ktk 10 x 10 Kaplet
7 Amoksilin sirup Kering 125 mg/5ml Botol 60 ml
8 Antalgin Tablet 500 mg Ktk 10 x 10 Tablet
9 Antalgi Injesi 250 mg Kotak 30 ampul 2 ml
10 Antasida DOEN tab kunyah, Kombinasi Ktk 10 x 10
11 Anti Bakteri DOEN salep kombinasi Dus 25 tube@ 5 g
12 Anti hemoroid Doen Kombinasi: Bismut Subg kotak /10 supp
13 Antifungi DOEN kombinasi: Asam benzoat 6% kotak /24 pot @ 30 g
14 Antimigren : Ergotamin tartrat 1 mg +kofein botol /100 tablet
15 Anti Parkinson DOEN tablet Komb Ktk 10 x 10 Tablet
16 Aqua Pro Injeksi Steril, bebas pirogen Ktk / 10 Vial 20ml
17 Asam Askorbat (Vit.C)Tablet 100 mg Ktk 10 x 10 TAB
18 Asetosal Tablet 100 mg Kotak10 Str x 10’s
19 Asetosal Tablet 500 mg 10 Str x 10’s
20 Atropin Sulfat Tablet 0,5 mg Ktk 10 x 10
21 Atropin Sulfat tetes mata 0,5% Ktk 24 ttl @ 5 ml
22 Atropin Sulfat injeksi 0,25 mg/ml-1ml Dus, 30 amp @ 1 ml
23 Betametason Krim 0,1% Kotak 25 tube @ 5 g
24 Deksametason Injeksi i.v.5mg/ml- 1 ml Ktk 100 Amp @ 1ml
25 Deksametason tablet 0,5 mg Ktk 10 x 10 Tab
26 Dekstran 70-larutan infus 6% steril Botol 500 ml
27 Dekstrometorfan sirup 10mg/5ml Botol 60 ml
28 Dekstrometorfan tablet 15 mg ( Hbr) Botol100 tab 15 mg
29 Diazepam injek 5 mg/ml – 1 ml Dus, 30 amp @ 2 ml
30 Diazepam tablet 2 mg Botol 100 tab
31 Diazepam tablet 5 mg Ktk 10 x 10
32 Difenhidramin inj 10 mg/ml – 1 ml Kotak 30 amp x 1 ml
33 Digoksin tablet 0,25 mg 10 x 10 tab
34 Efedrin HCL tablet 25 mg 250 tab / botol
35 Ekstrks belladonna Talet 10 mg Ktk 10 bls x 10’s
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36 Efinefrin (Adrenalin )Injk 0,1% (sbagai HCL ) Ktk 30 amp x 1 ml
37 Etakdirin (rivanol) larutan 0,1% Botol 300 ml
38 Fenitioin Natrium Injeksi 50 mg/ml Ktk 10 amp x 2 ml
39 Fenobarbital injeksi 50mg/ml – 2 ml Ktk 30 amp x 1 ml
40 Fenobarbital Tablet 30 mg Botol @ 100 Tablt
41 Fenoksimetil penisilina tablet 250 mg 10 str x 10’s
42 Fenoksimetil penisilina tablet 500 mg Ktk 10 str x 10’s
43 Fenol Gliserol tetes telinga 10% Ktk 24 btl @ 5 ml
44 Fitomadion (Vit K1) injeksi 10mg/ml 1ml Ktk 30 amp x 1 ml
45 Fitomadion (Vit K1) tablet salutgula10mg Btl 100 tablet
46 Furosemid tablet 40 mg Ktk 10 x 10 Tablet
47 Gamekson lotion 1% Botol 30 ml
48 Garam Oralit untuk 200 ml air Dus, 100 sachet
49 Gentian violet larutan 1 % botol 10 ml
50 Glibengklamid tablet 5 mg Dus,10 blstr@10 tbt
51 Gliseril Guayakolat tablet 100 mg 1000 tablet/botol
52 Gliserin Botol 100 ml
53 Glukosa larutan infus 5 % steril (local) Botol 500 ml
54 Glukosa larutan infus 10% steril (local) Botol 500 ml
55 Glukosa larutan infus 40% steril (local) Ktk 10 amp@25 ml
56 Griseofulvin tablet 125 mg,micronized Dus 10 blitr @10 tbl
57 Haloperidol tablet 0,5 mg 10 x 10 tab
58 Haloperidol tablet 1,5 mg 10 x 10 tab
59 Haloperidol tablet 5 mg 10 x 10 tab
60 Hidrok;orotiazid (HCT) tablet 25 mg 1000 tablet/botol
61 Hidrokortison krim 2,5 % Dus,24 tube@ 5 g
62 Ibuprofen tablet 200 mg Btl 100 tablet
63 Ibuprofen tablet 400 mg Ktk 10 str x 10’s
64 Isosorbid Dinitrat tablet sublingual 5 mg Dus,10 str @10 tab
65 Kalsium Laktat (Kalk) tablet 500 mg 1000 tablet/botol
66 Kaptropil tablet 12,5mg Ktk 10 str x 10’s
67 Kaptropil tablet 25mg Dus,10 str @ 10 tab
68 Karbamazepin tablet 200 mg Dus, 10 blstr@10 tab
69 Ketamin Injeksi 10 mg/ml
70 Klovazimin Kapsul 100 mg microzine botol 100 kapsul
71 Kloramfenikol kapsul 250 mg Dus,10 bltr @12 kapsl
72 Kloramfenikol tetes telinga 3 % Btl 5 ml
73 Klofeniramin Maleat (CTM) tablet 4 mg botol 1000 tablet
74 Klorprpmazin HCL injeklsi 5 mg/ml 1 ml 30 ampul x 2 ml
75 Klorprpmazin HCLinjeklsi 25mg/ml 2 ml 30 ampul x 1 ml
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76 Klorprpmazin HCL tablet salut 25 mg Ktk 10 str x 10’s
77 Klorprpmazin HCL tablet salut 100 mg Ktk 10 x10 tab
78 Anti malaria Doen Komb Ktk 10 x10 tab
79 Kotrimoksazol susupensi Komb Botol @ 60 ml
80 Kotrimoksazol DOEN l ( dewasa ) komb Ktk 10 str x 10kaptab
81 KotrimoksazoltDOEN ll( prediatrik) komb Ktk 10 str x 10’s
82 Kuinin ( Kina) Tablet 200 mg Kotak 60 tablet
83 Kuinin Dihidrokklorida injeksi 25%-2ml Ktk 30 ampul
84 Lidokain injeksi 2% (HCL) +Epinefrin 2ml Dus,30 ampul@ 2 ml
85 Magnesium Sulfat inj(IV)20%-25 ml Vial 25 ml(mrk:otsu
86 Magnesium Sulfat inj(IV)40%-25 ml Vial 25 ml(mrk: otsu
87 Magnesium Sulfat serbuk 30 Gram Ktk 10 vial
88 Mebendazol sirup 100 mg / 5 ml Btl 300 ml
89 Mebendazol tablet 100 mg Dus,3 blstr @10 tab
90 Metilegometrin maleat tabletsalut 0,125 mg Ktk 10 x 10 tablet
91 Metilegometrin maleat inj 0,002mg 1 ml 30 ampul / kotak
92 Metronidazol tablet 250 mg Ktk 10 x 10 tablet
93 Natrium Bikarbonat tablet 500 mg 100 tablet/botol
94 Natrium Fluoresein tetea mata 2% Ktk 24 ttl @ 5 ml
95 Natrium kloida larutan infuse 0,9% steril Botol 500 ml
96 Natrium Thiosulfat Injk I.v.25% Ktk 10 amp@ 10ml
97 Nistatin Tablet salut 500.000 IU/g Ktk 10 str x 10’s
98 Nistatin Tablet salut 100.000 IU/g Ktk 10 strx10’s vagial
99 Obat Batuk Hitam (OBH) cairan Botol 100 ml
100 OKsitetrasiklin HCL salep mata 1% Ktk 25 tube@ 3,5g
101 OKsitetrasiklin HCL injk 50mg/ml –10ml 10 Vial / kotak
102 Oksitosin injeksi 10 UI/ml- 1ml 30 ampul 1 ml
103 Parasetamol sirup 120 mg /5ml BTL 60 ml
104 Parasetamol tablet 100 mg Botol 100 tablet
105 Parasetamol tablet 500 mg Ktk 10 x 10
106 Pilokarpin HCL/nitrat tetes mata 2% Btl 5 ml
107 Pirantel tablet 125 mg Dus, 10 strip@ 10 tab
108 Piridoksin HCL (Vit.B6) Tablet 10mg 1000 tablet/botol
109 Povidon lodida 10% Botol 30 ml
110 Povidon lodida 10% Botol 300 ml
111 Prednison tablet 5 mg Ktk 10 str x 1o’s
112 Primakuin tablet 15 mg Ktk 10 str x 10’s
113 Propillitiourasil tablet 100mg Btl plastik @ 100
tablet
114 Propranol tablet 40 mg (HCL) botol 100 tablet
115 Reserpin tablet 0.10 mg Ktk 10 x 10
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116 Reserpin tablet 0.25 mg Ktk 10 x 10
117 Ringer Laknat larutan infuse steril (local) Botol 500 ml
118 Salep 2-4 Kombinasi ktk24 ttl @ 30 gr
119 Salisil Bedak 2% Kotak 50 gram
120 Serum anti Bisa ular pol inj 5 ml (ABU I) 10 Vial / kotak
121 Serum anti Bisa ular pol inj 50 ml (ABU II)
122 Serum Anti Difetri injeksi 20.000 IU/vial
(A.D.S)
123 Serum Anti tetaus inj 1.500 IU/ampul ( A.T.S) 10 ampul/kotak
124 Serum Anti tetaus inj 20.000 IU/ampul ( A.T.S) 10 Vial / kotak
125 Sianokobalamin (Vit.B12) inj 500 mg-ml Dus,100 amp@1ml
126 Sulfametamida natrium tetes mata 15% Botol @ 5 ml
127 Tetrakain HCL tetes mata 0,5% Ktk 24 btl @ 5ml
128 Tetrasiklin HCL kapsul 250 mg Ktk 10 str x 10’s
129 Tetrasiklin HCL kapsul 500 mg Ktk 10 str x 10’s
130 Tiamin HCL (Vit.B1) inj 100mg/ml 1ml Ktk 30 amp 1 ml
131 Tiamin HCL/Mononitrat (Vit.B1)Tab 50mg Ktk 10 x 10 tablet
132 Tiopental Natrium serbuk injeksi 1000mg/amp Ampul @ 10ml
133 Triheksifenidil hidroklorida tab 2 mg Dus,10 blistr@10 t
134 Vaksin Rabies Vero
135 Vitamin B Komplek Tablet 1000 tablet/botol
ALAT KESEHATAN
136 Alat suntik sekali pakai 1 ml 100 set/Kotak
137 Alat suntik sekali pakai 2,5 ml 100 set/Kotak
138 Alat suntik sekali pakai 5 ml 100 set/Kotak
139 Catgut / Benamg bedah no.2/0 dgn jarum bedah 24x70 cm /ktk
140 Catgut / Benamg bedah no.3/0 dgn jarum bedah 24x70 cm /ktk
141 Infusion set anak Set/kantong
142 Infusion set Dewasa Set/kantong
143 IV Catheter No.20G 50 Buah/kotak
144 IV Catheter No.22G 50 Buah/kotak
145 IV Catheter No.24G 50 Buah/kotak
146 Kapas berlemak 500 Gram Bungkus
147 Kapas pembalut/Absorben 250 gram Bungkus
148 Kasa Kompres uk 18 x 22 cm 12 lemb/ ktk
149 Kasa pembalut 36 m x 80 cm Rol
150 Kasa pembalut hidrofil 4 m x 5 cm 100 Rol/ ktk
151 Kasa pembalut hidrofil 4m x 10 cm elastis 50 Rol / ktk
152 Pembalut Gips 3 inch Rol
153 Plester 5 yard x 2 Inch Rol
154 Silk ( Benang Bedah Sutera ) No.3/0 dgn jarum 12x3x75cm/ktk

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155 Wing Need No 21 G 100 buah / kotak
156 Wing Need No 23 G 100 buah / kotak
157 Wing Need No 25 G 100 buah / kotak
158 Wing Need No 27 G 100 buah / kotak
OBAT GIGI
159 Etil Klorida Spray Vial/can/100 ml
160 Eugenol cairan 12btl @10 ml /ktk
161 Glass lonomer Cement ART Set/Botol
162 Kalsium Hidroksida pasta 2 tube/ kotak
163 Klorfenol kamfermentol (CHKM) Btl/10 ml
164 Mummifying Pasta Btl/ktk
165 Semen seng fosfat serbuk dan cairan Set @ 30 gr/Btl
166 Temporary Stopping Fletcher (Fletcher) Set @ 100 gr/ Btl
TAMBAHAN
1 Kloramfenikol suspense 125mg/ 5ml Botol
2 Lisol 70 % 1000 ml
3 Etanol 1000 ml
4 Tablet Fe Dus 100 sase
5 Vitamin A Biru ( 100.000 IU ) 50 Kapsul / Botol
6 Vitamin A Merah ( 200.000 IU) 50 Kapsul / Botol
7 Acyclovir Tube
8 Clorampenicol tm Botol
9

Mengetahui Indramayu,…… Nopember 2015

Kepala UPTD Puskesmas Tukdana Penanggung jawab sub unit

H.SUAEDI,Amd.Kep NIP.
NIP. 19600323.198501.1.001