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MODELO ESTÁNDAR BOTIQUIN CSOFÁRMACOS Y MATERIAL DE EMERGENCIAS
REPOSICIÓN MEDICAMENTOS CSO 2015SEDE: CSO SUNAT AEREA FECHA:MES: ENERO MEDICO:
PRODUCTO Botiquín Maletín
1 Adrenalina (Epinefrina) 1mg/1ml 1 2
2 Agua destilada 2 2
3 Atropina Sulfato 0.5 mg/ml 1 2
4 Buscapina 20mg/1ml 1 1
5 Clorfenamina 10mg 1 2
6 Cloruro de sodio 9°/oo 10 ml 2 1
7 Dexamentasona 4mg/2ml 2 2
8 Dextrosa 33.3 % / 20 ml 2 1
9 Diazepam 10 mg/2ml 2 1
10 Diclofenaco 75 mg / 3ml 2 2
11 Dimenhidrinato 50 mg/5 ml 2 1
12 Hidrocortisona 250 mg/2ml (o Solu-Cortef*) 2 1
13 Ketorolaco 60 mg 2 2
14 Metamizol 1 g/2 ml 2 1
15 Orfenadrina 60mg 1 2
16 Plidan Compuesto 1 1
17 Ranitidina 50 mg/2 ml 2 1
18 Guantes de examen clínico 1 0
19 Sulfadiazina de plata/lidocaína (o Silverdiazina L*) 1 1
20 Aci-Tip Fco 1 0
21 Agua oxigenada 120 ml 1 1
22 Alcohol / 120 ml 1 1
23 Cloruro de sodio 9°/oo / 1000 ml 1 1
24 Fenoterol 0.5 % (o Berotec*) 1 0
25 Hidrax 60 ml 5 0
26 Yodopovidona espuma 120 ml 1 0
27 Ventolín 100 Mcg/Inh 1 0
28 Aspirina 100mg 10 5
29 Buscapina 10mg 10 0
30 Captopril 25 mg 10 5
31 Dimenhidrinato 50mg 10 0
32 Ibuprofeno 400mg 20 0
33 Isorbide dinitrato 5 mg. Sublingual 5 5
34 Paracetamol 500mg 20 0
35 Plidan 10mg 10 0
36 Abbocath - T / N° 20 2 1
37 Aerocámara adulto 1 0
38 Aguja N° 21 x 1 ½ 2 2
39 Aguja N° 23 x 1 ½ 1 1
40 Algodón Hidrófilo 250 g 1 0
41 Bajalenguas 195 5
42 Equipo de Venoclisis Macrogotero 1 1
43 Esparadrapo antialérgico mediano 1 1
44 Gasas estériles de 6 x 5 cm 10 5
45 Guantes Estériles N° 7.5 (par) 3 2
46 Jeringa 3cc 3 1
47 Jeringa 5cc 3 1
48 Jeringa 10cc 3 1
49 Jeringa 20cc 1 1
50 Ligadura 1 1
51 Mascarilla de nebulización adulto 3 0
52 Termómetro oral 1 1
53 Venda elástica 4” 2 2
54 Venda elástica 6” 2 2
55 Curitas 10 5
MODELO ESTÁNDAR BOTIQUIN CSOFÁRMACOS Y MATERIAL DE EMERGENCIAS
REPOSICIÓN MEDICAMENTOS CSO 20151/12/2015
DR. URRUTIA
ESTÁNDARESTANDAR
LABORATORIO Fecha de VencimientoSTOCK INICIALPRESENT
1er día mes3 3 AMP
4 3 AMP
3 3 AMP
2 2 AMP
3 1 AMP
3 4 AMP
4 0 AMP
3 3 AMP
3 3 AMP
4 0 AMP
3 0 AMP
3 3 AMP
4 0 AMP
3 3 AMP
3 0 AMP
2 1 AMP
3 0 AMP
1 0 CAJA
2 1 CRM
1 1 FCO
2 2 FCO
2 2 FCO
2 2 FCO
1 1 FCO
5 5 FCO
1 1 FCO
1 1 INH
15 27 TAB
10 14 TAB
15 15 TAB
10 0 TAB
20 10 TAB
10 12 TAB
20 10 TAB
10 0 TAB
3 3 UNID
1 0 UNID
4 4 UNID
*Indicaciones: Llenar solamente las celdas de color celeste (stock inicial, fechas de vencimiento)
2 2 UNID
1 1 UNID
200 100 UNID
2 1 UNID
2 2 UNID
15 20 UNID
5 7 UNID
4 0 UNID
4 3 UNID
4 0 UNID
2 3 UNID
2 1 UNID
3 1 UNID
2 2 UNID
4 3 UNID
4 3 UNID
15 15 UNID
Fecha de VencimientoFECHA
1 2S I S I
Llenar solamente las celdas de color celeste (stock inicial, fechas de vencimiento)
FECHA3 4 5 6
S I S I S I S I
FECHA7 8 9 10
S I S I S I S I
FECHA11 12 13 14
S I S I S I S I
FECHA15 16 17 18
S I S I S I S I
FECHA19 20 21 22
S I S I S I S I
FECHA23 24 25 26
S I S I S I S I
FECHA27 28 29 30
S I S I S I S I
FECHASTOCK AL
REQUERIDOA RENOVARA RENOVAR31 TOTALS I S I ###
0 0 3 0 -3501 NO CANJEABLE
0 0 3 1 -3501 NO CANJEABLE
0 0 3 0 -3501 NO CANJEABLE
0 0 2 0 -3501 NO CANJEABLE
0 0 1 2 -3501 NO CANJEABLE
0 0 4 -1 -3501 NO CANJEABLE
0 0 0 4 -3501 NO CANJEABLE
0 0 3 0 -3501 NO CANJEABLE
0 0 3 0 -3501 NO CANJEABLE
0 0 0 4 -3501 NO CANJEABLE
0 0 0 3 -3501 NO CANJEABLE
0 0 3 0 -3501 NO CANJEABLE
0 0 0 4 -3501 NO CANJEABLE
0 0 3 0 -3501 NO CANJEABLE
0 0 0 3 -3501 NO CANJEABLE
0 0 1 1 -3501 NO CANJEABLE
0 0 0 3 -3501 NO CANJEABLE
0 0 0 1 -3501 NO CANJEABLE
0 0 1 1 -3501 NO CANJEABLE
0 0 1 0 -3501 NO CANJEABLE
0 0 2 0 -3501 NO CANJEABLE
0 0 2 0 -3501 NO CANJEABLE
0 0 2 0 -3501 NO CANJEABLE
0 0 1 0 -3501 NO CANJEABLE
0 0 5 0 -3501 NO CANJEABLE
0 0 1 0 -3501 NO CANJEABLE
0 0 1 0 -3501 NO CANJEABLE
0 0 27 -12 -3501 NO CANJEABLE
0 0 14 -4 -3501 NO CANJEABLE
0 0 15 0 -3501 NO CANJEABLE
0 0 0 10 -3501 NO CANJEABLE
0 0 10 10 -3501 NO CANJEABLE
0 0 12 -2 -3501 NO CANJEABLE
0 0 10 10 -3501 NO CANJEABLE
0 0 0 10 -3501 NO CANJEABLE
0 0 3 0 -3501 NO CANJEABLE
0 0 0 1 -3501 NO CANJEABLE
0 0 4 0 -3501 NO CANJEABLE
0 0 2 0 -3501 NO CANJEABLE
0 0 1 0 -3501 NO CANJEABLE
0 0 100 100 -3501 NO CANJEABLE
0 0 1 1 -3501 NO CANJEABLE
0 0 2 0 -3501 NO CANJEABLE
0 0 20 -5 -3501 NO CANJEABLE
0 0 7 -2 -3501 NO CANJEABLE
0 0 0 4 -3501 NO CANJEABLE
0 0 3 1 -3501 NO CANJEABLE
0 0 0 4 -3501 NO CANJEABLE
0 0 3 -1 -3501 NO CANJEABLE
0 0 1 1 -3501 NO CANJEABLE
0 0 1 2 -3501 NO CANJEABLE
0 0 2 0 -3501 NO CANJEABLE
0 0 3 1 -3501 NO CANJEABLE
0 0 3 1 -3501 NO CANJEABLE
0 0 15 0 -3501 NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
NO CANJEABLE
