Travel Medication Flashcards

1
Q

Common Health Concerns when Abroad

A
  • diarrhoea
  • motion sickness
  • minor ailments
  • sunburn
  • insect bites
  • malaria
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2
Q

Types of products that can be recommended

A
  • medicines for minor ailments
  • personal care
  • surgicals
  • lifestyles
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3
Q

What are some medicines for minor ailments

A
  • cough and cold
  • fever and pain
  • gastrointestinal
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4
Q

What are some personal care to recommend

A

sunscreens

moisturisers

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5
Q

What are some surgicals to recommend

A
  • masks
  • plasters
  • pill boxes
  • first aid kits
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6
Q

medications for insect bites

A
  • mopiko

- tiger balm

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7
Q

medication for sunscreen

A

lotion/creams with SPF

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8
Q

medication for insect repellants

A
  • patch, spray
  • citronella oil
  • DEET
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9
Q

drugs for pain and fever

A

panadol

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10
Q

Drugs for fever

A
  • paracetamol
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11
Q

Medication for diarrhoea

A
  • activated charcoal
  • lacteol Fort
  • Co-phenotrope
  • loperamide
  • oral rehydration salts
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12
Q

Things to note when counselling patients on products/medication

A
  • dosing regimen (when to stop/take)
  • storage conditions
  • common side effects
  • special instructions for malaria
  • sharing of medication
  • quantity of medication
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13
Q

Physical findings of Malaria in the person

A
  • elevated temps
  • perspiration
  • weakness
  • increased respiratory rate
  • mild jaundice
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14
Q

symptoms of Malaria

A
  • fever
  • headache
  • chills
  • sweats
  • nausea and vomitting
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15
Q

risk factors of malaria

A
  • not using protective measures
  • living or travelling in a country where malaria is present
  • age
  • pregnancy
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16
Q

Medication for Malaria

A

Antimalarial drugs
Malarone
Doxycycline

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17
Q

Antimalarial drugs

A

chloroquine

mefloquine

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18
Q

Dosing for Chloroquine

A

PO 310mg (tablet) or 300ml (syrup) once weekly

start 1 week before and 4 weeks after

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19
Q

Common side effects of chloroquine

A

headache

itch

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20
Q

Contraindication of chloroquine

A
  • impaired visual field
  • G6PD deficiency
  • psoriasis
  • epilepsy
21
Q

Counselling points for chloroquine

A
  • take with food to reduce upset stomach

- take on the same day each week

22
Q

Can chloroquine be used in pregnancy and breast feeding?

A

yes

23
Q

Dosing for Mefloquine

A

PO 250mg once weekly

start 2-3 weeks before and 4 weeks after

24
Q

Can mefloquine be used in pregnancy and breastfeeding?

A

yes

25
Q

Common side effects of mefloquine

A
  • insomnia
  • abnormal dreams
  • emotional disturbances
  • ECG changes
26
Q

counselling points of mefloquine

A
  • take with a glass of water
  • take on the same day each week
  • may affect performance of skilled task e.g driving
27
Q

Dosing for malarone

A

PO 1 tablet OD

start 1-2 days before and 1 week after

28
Q

Can Malarone be used in pregnancy and breastfeeding

A

pregnancy: if benefits to the mother outweighs the risk to the fetus
breastfeeding: no

29
Q

common side effects

A

abdominal pain

30
Q

Counselling points for Malarone

A

take with food or milk based drink at the same time each day

31
Q

Dosing for Doxycycline

A

PO 100mg OD

start 1-2 days before and 4 weeks after

32
Q

Does Doxycycline need a prescription

A

Yes

33
Q

Can Doxycycline be used in pregnancy and breastfeeding

A

Pregnancy: only first trimester

breastfeeding: no

34
Q

Common side effects of doxycycline

A
  • oesophageal injury
  • upper abdominal pain
  • photosensitivity
35
Q

Counselling points of Doxycycline

A
  • swallowed whole with plenty of fluid
  • taken with or soon after food
  • do not take medication with iron, calcium and zinc
  • avoid exposure to sunlight or sun lamps, applying sunblock
36
Q

Signs and Symptoms of threadworms

A
  • itching of anal and vaginal area (may be intense)
  • sleeping difficulties and restlessness
  • prickling sensation in perianal area at night or early morning
37
Q

risk factors of threadworms

A
  • children under 18
  • people who take care of infected children
  • institutionalized people
38
Q

Pharmacological treatment for threadworms

A

Benzidazoles

39
Q

Drugs of Benzidazoles

A
  • albendazole

- mebendazole

40
Q

Dosing for Albendazole

A

PO 400mg single dose, may repeat after 2 weeks

children less than 2:
PO 200mg single dose,
may repeat dose after 3 weeks

41
Q

common side effects for Albendazole

A

headache

nausea & vomitting

42
Q

Contraindication for Albendazole

A

1st trimester of pregnancy

43
Q

Counselling points of Albendazole

A
  • take on empty stomach

- hygienic measures should be taken

44
Q

Dosing for Mebendazole

A

PO 100mg single dose may repeat after 2 weeks

45
Q

Side effects for Mebendazole

A

abdominal pain

46
Q

Contraindication for Mebendazole

A

1st trimester of pregnancy

47
Q

Counselling points for Mebendazole

A
  • Take with or without food
  • hygenic measures to be taken
  • all members of family should be treated
48
Q

Non-pharm methods for threadworms

A
  • Practice handwashing techniques

- laundry should be cleaned thoroughly and regularly