GIL

Question 1

Loose/liquid stools > 3 times daily
Trigger:
Medication
Uncooked meat
Travel to endemic area
Norovirus (self-limiting: 2 days)

Answer 1

DIARRHOEA

Question 2

When to refer DIARRHOEA

Answer 2

High volume of watery stool
Blood
Travel to endemic area
Weight loss

Question 3

Treatment for DIARRHOEA

Answer 3

Imodium (Loperamide)
Imodium Plus Comfort (Loperamide, simeticone)
Do not give children <12 yrs old

Question 4

Advice for DIARRHOEA

Answer 4

Self-limiting: improve 2-4 days
Drink fluid
Baby - feed as usual, try giving small feeds more often than usual
Avoid dairy products, greasy, spicy foods
Avoid fruit juice / fizzy drinks

Question 5

Abdominal Pain
Bloating
Nausea
Straining during bowel movement
Trigger:
Medication (opiods)
Lack of fibre

Answer 5

CONSTIPATION

Question 6

When to refer for CONSTIPATION

Answer 6

OTC no work in 24 hrs
Unexplained weight loss
Blood
Mass in right lower abdomen

Question 7

Treatments for CONSTIPATION

Answer 7

Fybogel Hi-Fibre (pregnant)
Dulcolax
Bisacodyl
>10 yrs
Senokot (not for pregnant)
Glycerol suppository (infants / elderly)
Make sure near toilet

Question 8

Advice for CONSTIPATION

Answer 8

High fibre diet (fruits, vege, oats, grains) take 4 weeks to effect
Fluid intake
Exercise

Question 9

Discomfort
Dry mouth
Trigger:
Smells
Motion sickness
Migraine
Pregnancy

Answer 9

NAUSEA & VOMITING

Question 10

Treatments for N&V

Answer 10

Promethazine
Takes 20-30 mins to work, take before journey
Hyoscine
Cinnarizine

Question 11

Advice for N&V

Answer 11

Self-limiting: 1-2 days
Sit in front of a car / in the middle of boat
Look straight ahead at a fixed point
Open car window
Children: distract by talking, listening to music
Try ginger
Do not read, watch films, look at moving objects, eat heavy meals before driving

Question 12

How to use an insulin pen

Answer 12

Wash and dry your hands.
Choose where you’re going to inject. (stomach, side of thigh, bum)
Change injection sites every time (prevent formation of lump)
Attach the needle to your pen – removing the outer and inner caps – point your pen upwards and dial up two units of insulin.
Keeping your pen upward,press the plunger until a drop of insulin appears from the top of the needle. (If no insulin appears, repeat this step until it does).
This is known as priming, and helps regulate your dose by removing any air from the needle and cartridge.
Dial your dose and make sure the spot you’re injecting is clean and dry. To clean, use soap and warm water. You do not need to use alcohol wipes.
Insert the needle at a right angle (90° angle). You might want to gently lift the skin before injecting (or your nurse may have shown you how to do this). Press the plunger until the dial goes back to 0.
Count to 10, slowly, to give the insulin time to enter your body before removing the needle.
Throw away the needle using your needle clipper or sharps bin (can dispose in pharmacy)
SE: Hypo (have a sugary drink / fruit juice)