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SIS - OFICINA DE SEGUROSCONSUMO DE PACIENTEPACIENTE :F.FINAL :F.INICIAL :HC :DNI :MARTINEZ ALVAREZ RN08/08/201504/09/20151598136FARMACIACAJA :PRECIOCODIGOITEMREGCANTIDADTOTAL100625AMIKACINA 100MG/2MLAMP50.603.00200662AMINOFILINA 250MG X 10MLAMP31.604.80300830AMPICILINA 1G (C/S DISOLVENTE)AMP61.006.00401467GLUCONATO DE CALCIO 10% X 10MLAMP80.806.40502642DEXAMETASONA 4MG/2MLAMP10.230.23603591FLUCONAZOL 2MG/ML VIALX50MLVIAL28.0016.00703710FUROSEMIDA 20MG/2ML IM/IVAMP10.500.50803783DEXTROSA 10% X 1000MLFCO73.2022.40903787DEXTROSA 33.3% X 20MLAMP20.601.201003789DEXTROSA 5% X 1000ML(*)FCO43.4013.601104666MEROPENEM 500MGAMP06.500.001205551CLORURO DE POTASIO 20% X10MLAMP60.281.681305872CLORURO DE SODIO 0.9% X 100MLFCO11.001.001405880CLORURO DE SODIO 0.9% X 250 mLFCO91.3011.701505889CLORURO DE SODIO 20% X 20MLAMP50.402.001606471VANCOMICINA 500MGAMP66.1336.781708013AGUA DESTILADA 1000ML(AGUA EST.P/INYECCION(*)FCO07.500.001810145AGUJA DESCARTABLE #18 X 1 1/2UND170.050.851910155AGUJA DESCARTABLE #23 X 1UND560.052.802010302APOSITO TRANSP.ADH.6CM X 7CMUND241.2530.002110355BOLSA COLECTORA D/ORINA PEDIAT.100MLUND270.287.562210482ABBOCATH # 24G(CATETER INTRAVENOSO)UND01.500.002310873ELECT.DESC.PEDIATRIC.P/ELECTROC(ELECTRODO PEDIATRICO)UND30.541.622410929EQUIPO DE VENOCLISIS (*)UND10.800.802511368JERINGA DESCARTABLE 10CC C/A 21X1 1/2UND650.2415.602611369JERINGA DESCARTABLE 20CC C/A 21X1 1/2UND910.3027.302711370JERINGA DESCARTABLE 5CC C/A 21X1 1/2UND1890.1528.352811844SONDA DE ALIMENTACION N6UND100.939.302911845SONDA DE ALIMENTACION N8UND120.9411.283012490TERMOMETRO ORALUND31.404.203112520TIRAS REACTIVASUND481.4871.043215336CANULA BINASAL(CANULA NASAL D/OXIG(NEONATAL)UND12.132.133316569GUANTE QUIRURGICO N 6 1/2PAR270.9024.303416570GUANTE QUIRURGICO N 7PAR1020.9091.803516571GUANTE QUIRURGICO N 7 1/2PAR140.9012.603616599HOJA DE BISTURI # 15UND10.230.233716641JERINGA DESCARTABLE 50ML S/AGUJA(F.SOP)UND40.943.763816656JERINGA DESC.1CC TUBERCULINA C/A 25X5/8UND890.1513.353916737LLAVE DE 3 VIASUND230.6013.804017016SONDA DE SUCCION C/FLUJO N08(*)UND01.100.004117478TUBO ENDOTRAQUEAL # 3.0 S/CUFFUND15.255.254217788CATETER UMBIL.CENTRAL DOB.LUMEN 3.5FRUND1225.00225.004318382ESPONJA DE GASA 7.5CM X7.5CM(X5UND)SBR832.50207.504418508EXTENSION DISS + LLAVE 3 VIAS (10CM)UND161.2019.204520452LINEA D/EXTENSION P/BOMBA D/INFUS.D/JRGA (ALARIS)UND716.88118.164620454MASCARA NEBULIZADORA LACTANTE(NEONATO)UND26.2512.504720706TUBO D/ASPIRAC.TRANS.5/16X7/16 1MT(NEO)UND17.257.254823314LINEA INFUS.DOB.CANAL P/BOMBA D/INF(11948)-HOSPIRAUND062.590.004923795SOLUCION P/NUTRICION PARENTERALX500MLFCO13443.755,768.755026872CATETER PERCUTANEO C/INTRODUCTOR 1.9FRX30CMUND1349.13349.13TOTAL :7,212.70

PginaHora04/09/201511:58Fecha

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SIS - OFICINA DE SEGUROSCONSUMO DE PACIENTEPACIENTE :F.FINAL :F.INICIAL :HC :DNI :MARTINEZ ALVAREZ RN08/08/201504/09/20151598136LABORATORIOCAJA :PRECIOCODIGOITEMREGCANTIDADTOTAL5180051ELECTROLITOS EMERGENCIAUND111.9011.905280076PERFIL HEPATICO (Fosf. TGO,TGP, Bili, Prot)UND118.0018.005381005EXAMEN DE ORINA AUTOMATIZADO - EMERGENCIAUND12.542.545481005EXAMEN DE ORINA AUTOMATIZADO - ESTUDIO CITOMETRICOUND12.542.545582150AMILASA SERICAUND18.578.575682247BILIRRUBINA TOTAL Y FRACCIONADAUND14.334.335782565CREATININA SERICAUND14.194.195882947GLUCOSA SERICA.UND13.813.815984100FOSFORO SERICOUND19.379.376084520UREA SERICAUND14.724.726185031HEMOGRAMA AUTOMATIZADOUND16285651VELOCIDAD DE SEDIMENTACION GLOBULARUND13.343.346386140PCR CUANTITATIVOUND110.4910.496486899G.SANGUINEO-FACTOR RH.UND16587040HEMOCULTIVO AUTOMATIZADOUND120.4620.466687163CULTIVO LIQUIDO CEFALO RAQUIDEO (LCR)UND16789050CITOQUIMICO DE LCRUND14.414.41TOTAL :108.67PROCEDIMIENTOSCAJA :PRECIOCODIGOITEMREGCANTIDADTOTAL681102002CONSULTA EXTERNAUND15.505.506993000ELECTROCARDIOGRAMAUND115.0315.03TOTAL :20.53FUENTE : SISTEMA INTEGRADO HMA7,341.90CONSOLIDADO :