USE OF MEDICINES Based on MSN1768 - To be used in conjunction with Ship Captain's Medical Guide Ref.No Drug Type of Drug / Uses Doses / Route 1. Cardio-Vascular Side effects: Anxiety, tremor, high blood pressure, rapid irregular beat. Only use in severely ill, collapsed patients with loss of blood pressure / severe breathing problems.
Anti-angina (heart pain), suspected heart attack or heart pain
Side effects: Throbbing headache, flushing, dizziness, faintness, low blood pressure.2. Gastro-Intestinal
Proprietary anti-indigestion preparations for heart-burn,
Anti-sickness drug used for sickness due to ear problems
Side effects: Dry mouth, blurred vision, rapid pulse
4mg init. then 2mg after each loose stool
Side effects: Drowsiness, dizziness, abdominal cramps
Anti-sickness drug and anti-histamine useful for severe motion-
sickness and for severe allergic reactions. Side effects: Drowsiness, dry mouth, blurred vision.
Anti-sickness drug used for motion sickness
Side effects: Fatigue, dry mouth, blurred vision3. Analgesics and antispasmodics
"Simple" painkiller suitable for most mild to moderate pain. Side effects: Few at correct dose, very dangerous in overdose & poisonous to liver
Strong painkiller suitable for moderate to severe pain
Side effects: Nausea, vomiting, constipation, respiratory depression in overdose
Anti-inflammatory painkiller, suitable for headache, limb pain
Side effects: Stomach pain, nausea, wheeziness. Do not give if patient has stomach / duodenal ulcer or asthma
Medium painkiller suitable for moderate to moderately severe
Side effects: Dizziness, drowsiness, blurred vision, agitation. Respiratory depression in overdose.4. Nervous System
Anti-epileptic medication used to control fits
Side effects: Drowsiness, light-headedness, confusion, headache, respiratory depression. Avoid with strong painkillers.5. Anti-allergic and anti-anaphylactics
Anti-allergy steroid for serious allergies causing severe
Side effects: Few for single dose or short course
Anti-allergy steroid also essential treatment of acute asthma
Side effects: Few for single dose or short courseRef.No Drug Type of Drug / Uses Doses / Route 6. Respiratory system
Anti-bronchospasm (wheeze) drug used t treat asthma and
Side effects: Tremor, headache, increased pulse rate7. Anti-infection
Antibiotic useful for treatment of urinary tract infection and
Side effects: Nausea, vomiting and diarrhoea, rashes.
Anti-parasite drug for treatment of gut infestation e.g.
Antibiotic and anti-protozoal e.g. trichomonas and amoebic
infections. Useful to gut-related infections. Side effects: Nausea, vomiting, unpleasant taste, rashes. Avoid alcohol.
Broad spectrum (general purpose) antibiotic
Side effects: Nausea, diarrhoea, abdominal pain, rashes, allergc reaction.
General purpose antibiotic, useful in penicillin allergic patients
Side effects: Nausea, diarrhoea, rashes, allergic reaction. Care when used in penicillin-allergic patients.8. Compund promoting rehydration
Used to treat dehydration in vomiting and diarrhoea or severe
9. Medicines for external use
For cleaning skin wounds and disinfection
Side effects: Nil unless applied to large areas
Anti inflammatory weak steroid cream. Useful in eczema type
rashes, allergic rashes, bites, etc. Side effects: Encourages spread of infection. Do not apply to broken skin or rashes due to skin infection e.g. ringworm
Anti fungal cream for treatment of ringworm etc. Side effects: Rare, nil in normal use
Anti-bacterial cream for protection against infections in burns. Side effects: Allergic reactions, burning, itching. Unusual.
General purpose eye antibiotic use after foreign body / minor
Side effects: Unusual, but can cause eye irritation
Local anaestetic drops for eye. Useful for numbing eye before
removing foreign bodies and for acute pain e.g. in arc eye. Side effects: Rare if used 1-off. Care to avoid eye injury whilst numbed.
Used to detect scratches or lesions on the front of the eye
Local anaestetic injection for numbing small wounds for
Side effects: Fits, heart problems in overdose
Natural oil with local anaestetic properties useful in treating
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