Tuesday, September 30, 2008

Emergency Medications for Cruisers

I sent Kary May back to Great Guana Cay where she is probably busy picking splinters out of her thighs. Which reminded me that I probably need to restock our medical bag for the season.
A surgeon friend of ours was good enough to make us a list a couple of years ago and I thought I'd share it with you before you start heading out.

EMERGENCY MEDICATIONS FOR CRUISERS

INFECTIONS such as severe sinus infections, diverticulitis, appendicitis, prostatitis (men only duh), travelers diarrhea (from contaminated water) use Levaquin 500 mg. 1 pill every day for 10 (ten) days or Avelox 400 mg. 1 every day also for 10 (ten) days. Septra DS (Bactrim DS) 1 twice a day is also good. For skin infections from cuts, abrasions, burns, coral bumps, etc you can use Levaquin with the dose above or Penicillin 500 mg every 6 (six) hours. Penicillin is cheap. Levaquin is not but you should have it aboard for the more serious infections. Use your on board antibiotics only when a medical facility is not readily available. For a tooth abscess use Penicillin or Avelox. Penicillin has always worked best for me but if you are allergic to Penicillin, Levaquin or Avelox are OK to take. Urinary tract infections (burning on urination with possible blood or pus) can be treated with Cipro 500 mg. twice a day or Levaquin or Avelox in the dosage above. After a course of antibiotics, diarrhea (yellow stools) may occur. You may need Flagyl 500 mg. Every 8 (eight) hours for 10 (ten)days. Downside to this is that you can not consume alcohol. Bummer !

PAIN CONTROL For minor pain use Tylenol, Advil or Aspirin. For severe pain use Ultraset 37.5/325 mg. 1 tab every 12 (twelve hours) or Tylox (Oxycodone) 5/500 1 or 2 (one or two) every 6 (six) hours. These are potent narcotics and you should seek medical help soon. Most of these meds will require an RX from your Doc. as serious liver damage has been reported. . Check the label of your meds for contents.If you drink more than 9 (nine) drinks a WEEK , (not per day) you should NOT use Tylenol or Acetaminaphen

BURNS For minor burns (stove bites, 2nd degree sunburn or anything that blisters the skin, etc) use Bacitracin cream or Triple Antibiotic cream. Apply as directed and have an assortment of bandages, Telfa pads, Coban dressings and gauze dressings aboard. For severe burns when the skin is charred (fire, electrical fires or spark) use Silvadene Cream. Apply liberally, bandage and seek medical help fast. CHEST PAIN Carry aboard Nitroglycerin (not the explosive) tablets. Place 1 (one) tablet under the tongue and allow to dissolve every 5 (five) minutes up to three tablets. Start an Aspirin regimen of 325 mg daily ASAP. Seek medical advice faster. For preventative measures take one baby aspirin, 80mg per day

YEAST INFECTIONS (Women only, duh) Use Monistat (available over the counter OTC) vaginal suppositories or cream and apply as directed. You gals may have to take Acidophilus to replace the lost vaginal bacteria when using antibiotics.

ACID REFLUX DISEASE / ULCERS You can use Nexium 40 mg. Or Protonix 40 mg each 1 (one) daily. Consult your physician before beginning this regimen.

NAUSEA /VOMITING For your guests that may be not acclimated to the bouncing, rolling and pitching of boats, we use Dramamine or Meclazine both OTC. Scopolamine patches are also now available. For severe N/V Phenergan Suppositories work well.

MISC. For colds use OTC cough and cold drugs. Sudafed is good for runny noses and congestion. Benadryl 25mg OTC is good as an antihistamine and anti itch. Carry some sterile eye wash, antibiotic eye ointment, ear antibiotic and a bee sting kit as precaution. You should carry a 3 (three) month supply of medications along with whatever meds you routinely take and have prescriptions or copies of prescriptions for all drugs aboard your vessel.

And since most of us are cheap ass cruisers remember to ask for generics.

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