Travel Health Flashcards
What causes motion sickness?
The vestibular system in the inner ear is responsible for balance and motion, which the brain receives as signals.
During motion sickness, the brain receives conflicted signals from the vestibular system as well as the eyes.
When do you refer someone who is experiencing motion sickness?
If their symptoms continue even after travel (labyrinthitis)
What pharmacological options are available for motion sickness?
- Hyoscine - 1 patch every 3 days, or 0.3-0.6mg every 4-6h
- Antihistamines - take 1-2h before journey
- Promethazine - 25mg
- Cyclizine - 50mg
- Cinnarizine - 30mg
What are some non-pharmacological options for motion sickness?
- Ginger
- Acupressure bands
- Minimise head movements
- Avoid large meals/alcohol
- Fix vision on a stable object
What is deep vein thrombosis (DVT) and how can it occur in travel?
It is a blood clot that develops in one of the deep veins in the calf/leg.
It can occur during long journeys (long periods of sitting), and periods of inactivity.
What are the symptoms of DVT?
- Pain/swelling of leg
- Redness of skin
- Aches in affected area
- Pulmonary embolism - where bits of the clot break apart & travel around the body, blocking a blood vessel in the lungs
What are the pharmacological treatments for DVT?
- Anticoagulants - heparin or warfarin
2. Graduated compression hosiery
What are the non-pharmacological treatments/preventions for DVT?
- Raising the leg to prevent pooling of blood
- Wearing loose/comfortable clothing
- Avoid excess alcohol/sleeping pills
What factors can cause jet-lag?
- Disrupted circadian rhythm
- O2 levels - lower air pressure can reduce the amount of O2 in the blood
- East & west
- Other factors: stress, dehydration, alcohol, lack of sleep
What are the pharmacological treatments for jet-lag?
- Melatonin - not used in the UK
2. Sleeping tablets
What are the non-pharmacological treatment options for jet-lag?
- Change sleep routine before travelling
- Limit caffeine/rest well during flight
- Avoid napping when arriving
What is the difference between UVA, UVB, and UVC light?
UVA: for tanning/ageing
UVB: for sunburn
UVC: filtered out by the ozone layer
- REMEMBER (UV)A FOR AGEING, (UV)B FOR SUNBURN
Who are more at risk of developing a sunburn?
- Fair skinned people (low melanin)
- Countries close to the equator
- <6yrs or >80yrs
- High altitudes
- Prolonged sun exposure
- Snow/ice/water
How can one prevent sunburn?
- Avoid direct sun
2. Sunscreens - physical (deflect/block UVA/UVB) or chemical (absorb UVA/UVB light)
What does SPF stand for and what does it indicate?
SPF: sun protection factor
It indicates the level of protection against UVB light