BAHAMA FLAG International Marine Organization recommended medicines

Transcription

1 SR NO. CODE Recommended Item, Dosage form, Strength BAHAMA FLAG International Marine Organization recommended medicines Per 10 Per 20 Per 30 Per 40 Indications (on board ships) Added comments Acetylsalicylic acid, 300 mg tablet High dose ( mg); to reduce pain, fever, inflammation. - Low dose ( mg); to inhibit formation of blood clots in angina pectoris, myocardial infarction stroke Seepages and , , 137, Aciclovir 400 mg tbl Treatment of primary or recurrent herpes simplex virus infection; - May be useful for severe varicella and herpes zoster infection (doctor should be consulted) Seepages , , Adrenaline 1:1000 ampoule 1 ml = 1 mg Amethocaine (Tetracaine hydrochloride) 0.5% eye drops, single-use vial 1 ml To raise blood pressure in anaphylaxis - To dilate airways in severe asthma or anaphylaxis Seepages For eye examination and procedures See pages Amoxicillin + clavulanate tablets 875 mg/125 mg To treat infections responsive to this antibiotic Seepages 7-776, , , 204, , , 262 and Artemether ampoule 1 ml = (80 mg) Artemether + Lumefantrine tablets 20 mg mg Atropine ampoule 1.2 mg/ml Treatment of severe malaria. See pages Required only for voyages to areas where malaria transmission is a risk Treatment of malaria. See pages Required only for voyages to areas where malaria transmission is a risk To treat slow heart rate in myocardial infarction - To treat organophosphate insecticide poisoning See pages 96, Azithromycin tablet 500 mg Ceftriaxone ampoule 1 g powder for injection (Dissolve in water for injection) Cetirizine tablet 10 mg Charcoal, activated 50 g in 300 ml purified water Ciprofloxacin tablet 250 mg To treat infections responsive to this antibiotics Seepages , , 260, 274, 277, 281 To treat infections responsive to this antibiotic Seepages 16, , 153, , 172, 175, 187, 194, , To treat allergy symptoms in hay fever, hives, allergic dermatitis, etc. See page 145 To absorb ingested poisons. See pages To treat infections responsive to this antibiotic Seepages 77, , , , , 262 and Cloves, oil of 5 ml Toothache, See pages Dexamethasone ampoule 4 mg/ml To treat life-threatening and severe asthma - To treat anaphylaxis - To treat severe allergic reactions Diazepam tablets 5 mg To treat alcohol withdrawal. See pages Docusate with Senna tablet 50 mg + 8 mg Doxycycline tablet 100 mg Ethanol 70%, hand cleanser gel 250 ml To avoid straining in patients with anal fissure and haemorrhoids - To prevent constipation caused by opioid use Seepages As recommended in IMGS3 for the specific infection See pages , , , An alternative to hand-washing when hands are not obviously soiled Ethanol 70%, liquid 500 ml To disinfect instruments and surfaces

2 Fluorescein 1%, strips or single use vials 1 ml To detect damage to cornea: damaged area stains yellow/green See pages Frusemide ampoule 4 ml = 40 mg To treat severe fluid retention in lungs (pulmonary oedema) due to cardiac failure, See pages 15, Glucagon, ready to use ampoule 1 mg amp To treat low blood sugar (hypoglycaemia) due to insulin when oral intake is impossible and intravenous glucose cannot be given. See pages 123, 125. It is recommended to carry a glucose measuring instrument on board Haloperidol ampoule 1 ml = 5 mg To treat psychotic hallucinations and delusions - To treat severe agitation and aggressiveness See pages Hydrocortisone 1% cream (20-30 gramm) To treat allergy and some other inflammatory skin conditions. See pages 169, , Ibuprofen coated tablet 400 mg To treat inflammation -To reduce mild-to-moderate pain, especially if associated with inflammation See pages Isosorbide dinitrate tablet 5 mg sublingual. To treat angina pectoris (chest pain) - To treat myocardial infarction Lignocaine 1 % (without adrenaline) ampoule 5 ml For local anaesthesia when suturing wounds or performing minor surgery Seepages 71-74, Loperamide tablet 2 mg To treat symptoms of diarrhoea Seepages Mebendazole tablet 100 mg Metoprolol tablet 100 mg To treat intestinal worm infections not effective for tapeworm infection or hydatid disease See pages To treat hypertension (high blood pressure) - To treat artrial fibrillation (irregular or rapid heart rate) - To treat angina pectoris (chest pain) - To prevent migraine See pages Metronidazole tablet 500 mg To treat infections responsive to antibiotics Seepages , 172, Miconazole 2% cream 15gm To treat fungal skin infections See pages , 214 If women on board, supply also Miconazole vaginal cream Midazolam ampoule 1 ml (= 5 mg) To terminate epileptic fits. Seepages 121, Misoprostol tablet 200 pg To prevent post-partum haemorrhage. Page 192 If women on board Morphine (injectable) ampoule 1 ml = 10 mg To reduce severe pain - To reduce pain not relieved by other analgesics See pages Morphine (oral) liquid 1 mg/ml 100 ml bottle or 10 tablets with 10 mg To reduce severe pain likely to last several days in patients able to eat and drink See pages Naloxone ampoule 1 ml (= 0.4 mg) To reverse effects of opioids, especially in case of overdose See pages 123, Omeprazole tablets 20 mg To treat gastro-oesophageal reflux - To treat peptic ulcer disease See pages 152, and Ondansetron tablet 4 mg See pages 347. To prevent vomiting - To prevent seasickness See page 347. Caution: Scopolamine treatment causes sedation, See remarks on page 346

3 Oral rehydration salts sachets of powder for reconstitution To prevent or treat dehydration, especially due to diarrhoea, See pages and Oxymetazoline 0.5% (or equivalent) drops or spray To treat nasal obstruction due to allergies or viral infection - To improve sinus drainage in sinusitis Oxymetazoline 0.5% (or equivalent) drops or spray To treat nasal obstruction due to allergies or viral infection - To improve sinus drainage in sinusitis Permethrin 1 % lotion 250 ml Permethrin 5% lotion, vial of 250 g Povidone iodine ointment 10% 25 to 50 g Povidone iodinesolution 10% 30 to 120 ml To eliminate hair, pubic, and body lice See pages To treat scabies. See pages Prednisone tablet 25 mg Salbutamol aerosol inhaler 0.1 mg/dose To disinfect skin and wounds Seepages 67-77, To disinfect skin and wounds See pages 67-77, To treat severe asthma - To treat other inflammatory conditions (on medical advice) Seepages , To treat asthma - To treat chronic bronchitis - To treat emphysema - To treat other lung diseases Seepages Volume spacer for, salbutamol inhaler Sodium chloride 0.9% infusion plastic-bottle 1 litre or 2 x 500 ml plastic-bottle Tetracycline 1% ointment Eye -ointment 5g To make inhaling salbutamol more effective See page 146 For fluid replacement Can also be used for sterile eye irrigation, See page 38 To treat minor eye infections; To prevent infections following damage to the cornea. See pages 33-34, 40-42, Vitamin К (Phytomenadione) ampoule 1 ml = 10 mg Water for injection ampoules 5 ml Zidovudine plus Lamivudine tablets, 300 mg mg Zinc oxide 20% paste or ointment 25gm Portable oxygen set, complete, containing; 1 oxygen cylinder, 2 I/200 bar 1 spare oxygen cylinder, 2 I/200 bar Pressure regulating unit and flow meter with tubes such that ship s industrial oxygen can also be used To reverse excessive or unwanted effects of warfarin or related drugs. See pages 96, 173 Reconstitution of injectable drugs provided as powders Prophylaxis against HIV infections after needlestick injury. One tablet daily twice daily for four weeks. See page Protection of irritated skin 1 RESIUSCITATION EQUIPMENT 3 disposable face masks of choice: including simple face mask and nonrebreathing mask Appliance for the administration of oxygen See pages 4-5 Ready to use. See pages 4-5 See pages 4-5. If no additional equipment from the MFAG on board consider to increase amount of oxygen to 4 x 101 See pages 4-5 See pages Guedel airway (Mayo-tube): size medium Guedel airway (Mayo-tube): size large Manual aspirator to clear upper airways Catheters for aspirator Oropharyngeal airway, See pages 4-5, 315 Oropharyngeal airway, See pages 4-5, 315 Mechanical aspirator, See pages 4-5 Mechanical aspirator, different sizes; See pages 4-5

4 Ambubag or equivalent: Bag and mask resuscitator including oxygen supplied with small, reservoir bag and oxygen tubing, See pages 4-5 medium and large masks Brook Airway, Lifeway, Cannula for mouth-to-mouth resuscitation, pocket face mask or See pages 4-5 equivalent 2. DRESSING MATERIAL AND SUTURING EQUIPMENT Assorted wound-plaster or plaster strips, water Adhesive dressings Sterile resistant gauze - slim compresses, and broad 5 cm x 5 cm, sterile 5nos Sterile gauze compresses pack Sterile gauze compresses, 10 cm x 10 cm 4s nos pack Sterile gauze compresses Gauze roll, 5 cm and 60 or Gauze roll 60 cm / 90 cm may be substituted by 90 cmx100 m, non-sterile gauze roll of smaller size Non-adherent gauze dressing, square, 10 cm Gauze dressing with non-adherent surface Paraffin gauze dressing, 10x10 cm, sterile 10s pack Vaseline gauze Elastic fixation bandage, 4 m x 6 cm First-aid absorbent gauzecovered Bandage cotton pad sewn onto a cotton bandage Sterile compression bandages (ambulance First-aid absorbent dressing) gauzecovered cotton pad sewn small onto a cotton bandage Sterile compression bandages (ambulance dressing) First-aid absorbent medium gauzecovered cotton pad sewn onto a cotton bandage Sterile compression bandages (ambulance dressing) large Tubular gauze bandage for finger bandage, 5 m Tubular gauze for finger bandage See pages Applicator for finger bandage See pages Adhesive elastic bandage, 4 m x 6 cm Adhesive elastic bandage Triangular sling Triangular sling. See pages and Sterile sheets for burn patients Sterile sheet for burn victims. Different sizes See pages Honey for dressing burns 1 kg (only purified 1000 g) Only if honey for medical purposes available Otherwise use a hydrogel-burnkit. See pages Adhesive tape, waterproof, skin-friendly, 5 x 1.25 cm Adhesive sutures or zinc oxide bandages Q-tips (wooden) Q-tips Safety pins (stainless steel) Safety pins Butterfly sutures, Steristrip or Leukostrip, sterile 2-octyl cyanoacrylate liquid, 0.5 ml Sutures, absorbable with curved non-traumatic needles, 1-0 Sutures, absorbable with curved non-traumatic needles, 3-0 Butterfly sutures. See pages Skin adhesive for closing small wounds. See pages Suturing equipment. See pages Replace with non-absorbable sutures for easier use, See page 71 Suturing equipment. See pages Replace with non-absorbable sutures for easier use, See page Sutures, absorbable with curved non-traumatic needles, 4-0 or 5-0 Suturing equipment. See pages Replace with non-absorbable sutures for easier use, See page Disposable examination gloves Surgical gloves size 6.3f sterile, in pairs Gloves Gloves (sterile)

5 Surgical gloves size 7.5, sterile, fir pairs Gloves Surgical gloveisqsize 8.5, sterile, in pairs Gloves 3. INSTRUMENTS Scalpel sierile disposable Disposable scalpels, See pages 77-74, Instrument box (stainless steel) Stainless-steel instrument box Operating scissors, straight (stainless steel) Scissors Bandage scissors (stainless steel) Scissors Splinter forceps, pointed (stainless steel) Forceps Teeth tissue forceps (stainless steel) Forceps Needle holder, Mayo- Hegar, 180 mm, straight Haemostatic clamp, Needle holder. See pages Halstead mosquitopc.; Haemostatic clamps mm, stainless steel Razor, disposable Disposable razors Tongue depressors, disposable Reactive strips for urine analysis: blood/glucose/ protein/nitrite/leukocytes Disposable tongue depressors Reactive strips for urine analysis, See paqes 311, 312, Microscope slides Microscope slides, See pages Stethoscope Stethoscope Sphygmomanometer (blood pressure set), preferably Aneroid sphygmomanometer, See pages automatic Standard thermometer, digital if possible Standard thermometer, See pages Rectal thermometer, digital if possible Rectal thermometer, See pages EXAMINATION AND MONITORING EQUIPMENT Thermometer C, digital if possible Penlight + blu.e.qover EQUIPMENT FOR INJECTION, INFUSION, AND CATHETERIZATI Syringes, Luer connection, 2 ml, sterile, disposable Syringes, Luer connection, 5 ml, sterile, disposable Hypodermic subcutaneous needle, Luer connection, 16 x 0.5 mm, (23G or25g), Hypodermic sterile, disposable intramuscular needle (19G or 21G), Luer connection, 40 x 0.8 mm, sterile, disposable Needles, 19G or21g, blunt, drawing up type Intravenous infusion cannula 16G (1.7mm) or 19G, Luer-lock connection, sterile, Intravenous nonrecap infusion type cannula 22G (0.8mm) or21g, Luer-lock connection, sterile, Intravenous giving set, Luerlock connection, sterile + 3- way valve/ connection Tourniquet, blood-taking type, to be used with intravenous infusion cannula Hypothermic thermom"eterv preferable range 26 C to 42 С to differentiate between severe-moderatemild hypothermia; 'SEE pages 343 Penlight (Blue light) to detect damage to cornea See pages Equipment for injection, See pages Equipment for injection, See pages Equipment for subcutaneous injection, See pages Equipment for intramuscular injection, See pages Equipment for drawing the medicine into the syringe, See pages Equipment for intravenous fluid infusion, See page 326 Equipment for intravenous fluid infusion, See page 326 Equipment for intravenous infusion, See pages Equipment for infusion, See pages

6 Penile sheath set with condom catheter, tube, and Bladder drainage equipment, See pages S Short-term bag urine catheter with soft-eye straight tip Thieman No. 12, or Bladder drainage equipment, See pages Short-term equivalent urine catheter with soft-eye straight tip Thieman No. 16, or Bladder drainage equipment, See pages " equivalent Urine collecting bag and tube Bladder drainage equipment, See pages GENERAL MEDICAL AND NURSING EQUIPMENT Plastic goggles or full-face mask Eye protection Disposable plastic apron Plastic apron Kidney dish, stainless steel, 825 ml Kidney dish Towels,plastic backed, absorbent, I 600 x 500 mm Plastic backed towels Safety box for sharps disposable, 5 I Mask, duckbill type, disposable Tape measure, vinyl coated, 1.5 m waterproof sheet, plastic 90 x 180 cm Safety box size of 1-5 liters may be chosen Mask Tape measure Draw sheet Bedpan, stainless steel Bedpan Hot-water bag Hot-water bottle Urinal, male (plastic) Urine bottle ColdHotpack Maxi Ice bag Aluminum foil blanket Aluminium foil blanket Male condoms Condoms, assorted sizes Plastic wash bottle, 250 ml Wash bottle Bottle, 1 litre, plastic with screw top Stainless steel dressing tray, 300 x 200 x 30 mm Bowl, stainless steel, 180 ml Jars, plastic, with lids and labels, 100 ml Bandages, POP, 5 cm x 2.7 m Bandages, POP, 10 cm x 2.7 m Stockinet sizes for arm splints, 10 m roll Stockinet sizes for leg splints, 10 m roll Plastic bottle Dressing tray Bowl Specimen jars Plaster-of-Paris bandages, may be omitted if splints are carried Plaster-of-Paris bandages, may be omitted if splints are carried Stockinet See pages Stockinet See pages Cotton wool roll, 500 g Cotton wool, See pages Alcohol swabs % alcohol swabs for skin cleansing prior to injection Nail brush Nail brush 7. IMMOBILIZATION AND TRANSPORTATION EQUIPMENT Malleable finger splint Malleable splints (small), See pages Malleable forearm/hand splint Litter stock Stretcher Malleable splints (medium), See pages Stretcher equipment (a system for trauma management, i.e. immobilization and stretcher equipment most suited for treatment in the vessconcerned. Preferably allowing crane/helicop^r lifting. See page 7

7 Cervical rigid collar variable size First Aid Kit Only to be used in conjunction with the International Medical Guide for Ships 3rd edito For neck immobilisation, See pages 7, Temperature cards / charts Use as master copy from page Cards for telemedical advise Use as master copy. Should be filled in before calling radiomedical advise Medical logbook See p Controlled drug register Controlled drug register International Medical Guide for Ships 3rd Hard - copy Forms from Annex A Ship Use as master copy (See pages ) file in master s report form medical log p.455 Forms from Annex A Ship s identity and navigational Use as master copy (See pages ) status form Forms from Annex A Patient health status form Forms from Annex A Use as master copy (See pages ) Primary physician s report Use as master copy (See pages ) form International travel and Health, current edition Vaccination requirements (WHO) or www cdc.gov/travel/regionalmalaria/index.html See page FORMS AND BOOKS Malaria prophylaxis and treatment DISINFECTANTS, DISINSECTANTS Water disinfection set including measure kit / test stripes for ph and for residual chlorine Disinfectant solution for medical instruments, 1000 ml: 3% aqueous phenolic solution Disinfectant for surfaces and floor, 1000 ml concentrate: 2% cetrimide solution or 3% aqueous phenolic solution. To disinfect portable water tanks with chlorine effectively, See pages For disinfection of used instruments* and thermometers. See page 331. *Caution: All items entering the skin or are in direct contact with mucous membranes should be single use (i.e. injection needles, urinary catheters) For disinfection of contaminated surfaces, hardsurface objects and floors. (Non-food-handling area), See page 331.