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Based on International Medical Guide for Ships, 3rd ed. PRODUCT LIST 2014 IPD SHIPPHARMA, ROTTERDAM I. MEDICIN 1. CARDIO VASCULAR (Heart, blood & veins)
Acetosal , 300mg (or IPD: 500mg or Acetylsalicylic acid)
Epinephrine HCl 1/1000/1 ml or Adrenaline 1mg/ml 1ml)
Atropine sulf inj 1 mg/ml 1ml (double if 0,5 mg/ml)
Furosemide (Frusemide) 4ml=40mg (IPD: 20mg/2ml)
Furosemide (Frusemide) 4ml=40mg (IPD: 20mg/2ml)
Metoprolol 100 mg (IPD: 50 mg or Atenolol 50 mg)
Misoprostol 200 µg (or IPD: Oxytocin inj)
2. GASTRO INTESTINAL (Stomach & intestines)
Dosucate with Senna 50mg + 8mg or (Glyserol Suppo 4mg aka Microlax)
Antacid tbls (IPD: Calcium carbonate)
Haemorroid preparations of choice (Suppositories)
Haemorroid preparations of choice (Cream)
3. ANALGESIS (Pain & cramps)
Morphine Sulphate inj 10mg/ml amp (Narcotic-> SAFE!)
Morphine Sulphate inj 10mg/ml amp (Narcotic-> SAFE!)
Morphine 1mg/ml (oral) Codeine Phosphate 20 mg 4. NERVOUS SYSTEM
Diazepam tabl 5mg CS
Haloperidol 5 mg/m (Chlorpromazine Hcl 25 mg/ml)
Haloperidol 5 mg/m (or Chlorpromazine Hcl 25 mg/ml)
Midazolam 1ml (=5mg) CS
Ondansetron 4 mg (orCinnarizine 25 mg or Cyclycine)
5. ANTI-ALLERY & ANTI-ANAFYLACTIC
Dexamethasone 4mg/ml (orDexamethason 5 mg/ml (im,iv) + Sodium phosphate 4 mg/ml)
Dexamethasone 4mg/ml (or Dexamethason 5 mg/ml (im,iv) + Sodium phosphate 4 mg/ml)
Dexamethasone 4mg/ml (or Hydrocortisone sodium 100 mg inj)6. RESPIRATORY SYSTEM
Nose drops Oxymetazoline 0.5% (or Xylomethazolin 0.05%)
7. ANTI-INFECTION
Amoxicillin + clavulanate 875 mg/125mg (a.k.a. Augmentin)
Azithromycin 500mg (or Erythromycin 500 mg)
Zidovudine plus Lamivudine 300mg + 150mg7b1. ANTI MALARIALS stand-by
Artemether + Lumefantrine 20mg+120 mg (not profylactic)
7b2. ANTI MALARIALS profylaxis (prevention)
Based on International Medical Guide for Ships, 3rd ed. Mefloquine 250 mg (Sub-Sahara Africa)
Insect repellent, Tropics (IPD: Dymenthyl dftalate 50%)
8. REHYDRATION SALTS
Sodium Chl inj 0,9 % + administration set
Sodium Chl inj 0,9 % + administration set
Sodium Chl inj 0,9 % + administration set
9. MEDICINES FOR EXTERNAL USE a. SKIN (dermatological)
Ethanol 70% liquid (or Alcohol, rubbing 70 % ethyl alcohol) Skin desinfectant
b. EYES (opthalmic)
Amethocaine Eye anaesthetic drops (or Tetracain)
Eye ointment (1% Tetracycline) (or Trobamycin or Chloramphenicol)
Eye ointment (1% tetracycline) (or Trobamycin or Chloramphenicol)
c. NOSE/EAR MEDICINE (otitic) Optional:
Dexamethason sodium phosphate 0,1% 0,5 ml eye/ear drops (or IPD: plymixyne sulfate-B etc.)
d. FOR MOUTH AND THROAT Optional:
Cold remedy 'Vicks Vaporub' or equivalent
e. LOCAL ANAESTHETICS
Lidocaine HCl 1 % inj amp 5ml (or IPD: 2%)
10. VARIOUS
Glucagon 1mg (In syringes with needle) refrigerate 12. ANTIDOTES (against poisening) as per IMDG Code 2010 (MSC/Circ. 857)
Calcium Gluconate, efferv. (IPD: Ca Sandoz Forte)
Diazepam inj 5mg/ml CS
Dimercaprol injec.100mg/2ml (IPD: 50mg/2ml)
Amoxicilline 500mg/ ml (IPD: Ampicillin 1 gr)
Methylene blue (IPD: Methylthioninechloride 1 %)
Based on International Medical Guide for Ships, 3rd ed.
Metronidazole Suppo. Flagyl 1gr (IPD:500mg)
Infusie-set:Solutio Polygeline with administration (II.5.05e)
systems with "spikes" (IPD: Gelofusine)
Diazepam 10mg/2½ ml suppo CS II. MEDICAL APPLIANCES 1. RESUSITATION EQUIPMENT
Oxygen unit, portable with size E oxygen cylinder, adult facemask, regulator, tubing wrench, instruction books (self containedcarrier cases) (IPD: Dräger K 1-4)
Oxygen unit, portable with size E oxygen cylinder, adult face
Spare oxygen cylinder , size E (in 15) (IPD: 2 ltr)
Spare oxygen cylinder , size E (in 15) (IPD: 2 ltr)
Oxygen masks, disposable (up to 60% oxygen)
Oxygen masks, disposable (up to 60% oxygen)
Airway, plastic, child size 3 (IPD: Medasil size 1)
Airway, plastic, child size 3 (IPD: Medasil size 1)
Airway, plastic, adult size 4 (IPD: Medasil size 3)
Airway, plastic, adult size 4 (IPD: Medasil size 3)
Airway, plastic, adult size 5 (IPD: Medasil size 4)
Airway, plastic, adult size 5 (IPD: Medasil size 4)
Resuscitator, hand operated, with excess pressure relief device,inlet check valve with nipple for optical connection to low pressureoxygen line.
Resuscitator, hand operated, with excess pressure relief device,
Pocket face mask with valve & O2 inlet or equivalent
Defibrillators, mobile set (IPD: Life line, ½auto, 5 yr power pack)
2a. BANDAGE MATERIAL
Bandage, cotton, adhesive, var. sizes aka Band-aid
Bandage,absorbent,adhesive, 6cmx 5 m aka Band-aid
Pad, gauze 5 x 5 cm (IPD: 7½x7½ or 7½x5 cm)
5 cm x 90 cm (IPD: Hydrofylle/gauze 8 cmx5m)
60 cm x 100 m (IPD: Hydrofylle/gauze 10 cmx5m)
Petrolatum-gauze burn & wound dressing, individually packed,compres, sterile (IPD: 10x10cm)
Bandage, cotton, elastic, rubberless4 cm x 4 m (IPD: Supportive 8 cm)
First aid emergency dressing Small (BP 13 or 8) IPD 6x8cm
First aid emergency dressing Medium (BP 14 or 9) IPD 8x10cm
First aid emergency dressing Large (BP 15) IPD 10x12cm
First aid emergency dressing XtraLarge (IPD 28x20cm)
Tube-gauze type bandage for finger (IPD: Stulpa no.1)
Bandage, gauze, roller, sterile 3 cm x 10 m, two-ply clinging,2safety-pins (IPD: 4 or 6 cm)
Bandage, muslin, triangular, folded, with 2 safety-pins90 x 130 cm
Sterile sheet for burn patients (IPD: 35x45cm)
Applicators,wood,cotton-tipped ends,sterile,2mmx15cm
Gloves, surgical, sterile, disposable, large size 6½
Gloves, surgical, sterile, disposable, large size 7½
Gloves, surgical, sterile, disposable, large size 8½ (IPD: 8)
2b. SUTURING MATERIAL
Surgical tape, waterresistant 5 m x 1¼ cm
Skin closure, adhesive, sutureless, sterile 12 x 7 cm
Suture, absorbable with curved non-traumatic needle 1-0 or 4-0(IPD: Absorbable usp 3-0/ep 2)
Based on International Medical Guide for Ships, 3rd ed.
Suture, absorbable with curved non-traumatic needle 3-0 or 5-0(IPD: Absorbable usp 2-0/ep 3)
3. INSTRUMENTS
Blade, surgical knife, detachable small tang, sterile
Tray, with cover, for sterilization of small instruments (aluminium)17x7x3cm
Scissors, surgical straight, 14 cm (sh/bl)
Scissors, bandage, Lister, angular, 1 point sharp, 1 pointblunt, 18 cm (IPD: 14 cm)
Forceps, splinter, tweezers, 10 cm (IPD: Feichenfeld 11cm)
Needle holder, surture, Hegar-Mayo, 14 cm (IPD: 16 cm)
Forceps, haemostat, curved, Halstead-Mosquito, 15 cm (IPD: Kocher straight)
Modelling/shaping tool (IPD: excavator) MLC 2006
Filling tweezers (IPD: spatula/filler) MLC 2006
Dental preparation - synthetic tooth filling material MLC 2006
Complete dental set, excl. Pliers MLC 2006 4. EXAMINATION & MONITORING EQUIPMENT
Test strip colour chart, combined (urinary, blood, glucose,ketone, protein, bilirubin & pH) (IPD: Multistix 5)
Sphygmomanometer, aneroid, 300 mm Hg scale, hand type,complete in case
Standard clinical thermometer, digital
Flashlight (pen light type), with extra batteries
Digital sphygmomanometer (PREFERED)
Alcohol tester (Alcoscan AL 7000, USCG approved) wi mouth pieces
Alcohol tester (Alcoscan AL 7000) mouth pieces
5. MATERIALS FOR INJECTION, PERFUSION, PUNCTION & CATHERISATION
Needle, subcutane, 25G x 5/8" (0.5x16mm)
Needle, intramuscular 21G x 1½" (0.8x40mm)
Needle, intramuscular 21G x 1½" (0.8x40mm)
Needles,19G,blunt,"drawing up"type (or IPD; 18G)
Administration set, intravenous, with needle (butterfly) 21G
Administration set, intravenous, with needle (butterfly) 21G
Foley type size 12, charriere gauge, 5 ml balloon (IPD: Nelaton Ch 14)
Foley type size 16, charriere gauge, 5 ml balloon (IPD: Tiemann)
Catherisation tray, sterile, disposable, regular type: a 14 Frenchstraight catheter, sterile, gloves, small forceps, cotton balls,lubricant, antiseptic solution, underpad & drape, specimencontainer & label (IPD: Syringe w. lubricant)
Uringe collection bag & tube (see II.5.03)
Dripclysma-set for rectal use, incl. dripcounter & catherter (Irrigator)
"Sharps" disposable box (1 litre) UN approved
6. NURSING PRODUCTS
Based on International Medical Guide for Ships, 3rd ed. 7. IMMOBILISATION AND SETTING EQUIPMENT
Splints, finger, aluminium, padded (IPD: 50 cm)
Side board (wooden splint) (IPD: Kramer 8 x 50cm)
Finger cots, rubber, large (IPD: Vingerling)
8. DESINFECTANTS Recommended
Chlorinated Lime, (disinfectant) (IPD: Aquatabs 1 tab/ton) MLC'06
9. VARIOUS APPLIANCES
Towel, plastic backed,absorbent,600x500 mm
Stainless steel dressing tray, 300x200x30 mm
Apron, protection,plastic, disposable SEE II.6.01B
Plaster of Paris Bandage: POP, 5cm x 2.7 m
Plaster of Paris Bandage: POP, 10cm x 2.7 m
10. PUBLICATIONS
International medical guide for ships, third edition
Medical 1st aid guide for use in accidents involving dangerous
goods. Last edition (IPD: IMDG Code supplement)
Copy of Antigua & Barbuda's Directive 01-2005 revised
Copy of OMA Regulation MN 7.042 of The Marshall Islands
Copy of GPA LN 2000/4 Gibraltar
Copy of ED No. 86 of Panama's Segurmar
Copy of Liberia regulations MLC05
Copy of Belize e-mail
Copy of Vanuatu notice 25 June 2008
Copy of Bahamas' Bullelin no. 139 Chap 8+ no. 148
Copy of Philippine Labor code Ship Sanitation 2008, Chap. 9.2 & 10
Receptacle, with pedal-operated lid, stainless steel with plastic inside bucket reinstated
Hand desinfectant (IPD: Ethanol 70%, hand gel)
"Sharps" disposable box (1 litre) UN approved
Life Boat kit, SEALED (MCA)
Life boat set (D.O.T.) up to 10 crew SEALED
Life boat set (D.O.T.) 11 to 25 crew SEALED + 90t cinnarizine 25 mg Rescue Boat kit (MOB), SEALED (SOLAS)
Rescue boat set (SOLAS.) SEALED
Based on International Medical Guide for Ships, 3rd ed. Life Boat/Rescue boat kit, renewable (MCA)
Life boat set (D.O.T.) up to 10 crew
Life boat set (D.O.T.) 11 to 25 crew I. MEDICINES 1. CARDIO VASCULAR (Heart, blood & veins)
Anti-agina preparations (Glyceryl Trinitate spray 400 mcgr / 200 dose) or IPD: Isosorbide dinitrate 5 mg
2. GASTRO INTESTINAL (Stomach & intestines)
Anti-emetics (Prochlorperazine maleate 3 mg buccal) (IPD:Metoclopramide 20mg)
Anti-emetics (hyoscine hydrobromide 0,3 mg) OR
3. ANALGESIS (Pain & cramps) 4. NERVOUS SYSTEM
Seasickness tablets (IPD: Cinnarazine 25 mg)
9. MEDICINES FOR EXTERNAL USE a1. SKIN desinfectants (dermalogical)
Anti-inflammatory & Analg. (Proprietary NSAID gel/ointment)
Burn preparation (Proprietary antiseptic cream) Iodine cream
II. MEDICAL APPLIANCES 1. RESUSCITATION EQUIPMENT
Pocket face mask with valve & O2 inlet
2a. BANDAGE MATERIAL
Elastic adhesive 7.5 cm x 4 m (IPD: 4 or 6 cm)
Adhesive dressing assorted, sterile aka Band-aid
First aid emergency dressing Small (BP 13 or 8) (IPD 6x8cm)
First aid emergency dressing Medium (BP 14 or 9) IPD 8x10cm
First aid emergency dressing Large (BP 15) IPD 10x12cm
First aid emergency dressing XtraLarge (IPD 28x20cm)
2b. SUTURING MATERIAL 3. INSTRUMENTS 9. VARIOUS APPLIANCES (Recommended) 11. PUBLICATIONS First aid kit (Annex 3)
For crew of more than 10 persons, 3 kits must be on board.
Triangular sling (of calico with 2 sides of ± 90cm & base of ± 127cm)
Sterile compression bandage (Emergency dressing):
First aid emergency dressing Small (BP 13 or 8) (IPD 6x8cm)
First aid emergency dressing Medium (BP 14 or 9) IPD 8x10cm
First aid emergency dressing Large (BP 15) IPD 10x12cm
First aid emergency dressing XtraLarge (IPD 28x20cm)
Adhesive dressing assorted, sterile aka Band-aid
Pad,cotton,eye sterile,individually sealed (IPD: Klinion 7.2x5.2cm)
damp proof packaging, sterile. 100 grm (IPD:3mx10cm)
Disposable polythene gloves, large (7½ or 8)Portable bag
R. Wetzig; Removal of selected pharmaceuticals from sewage water by advanced treatment 2008 Removal of selected pharmaceuticals from sewage water by advanced treatment techniques 1TU Bergakademie Freiberg, Institut für Biowissenschaften, Leipziger Str. 29, 09599 Freiberg, Abstract The presence of pharmaceuticals as trace pollutants in natural surface water bodies,
Objectifs initiaux Le médecin traitant en • Établir une relation de confiance • Préciser le contexte – social et psychologique– Cardiovasculaire, métabolique. Mensurations – ATCD : vaccins (HBV ?), Hépatite, IST. • Bruno MARCHOU • Évaluer le statut lié au VIH Service des Maladies Infectieuses et Tropicales – Clinique : poids, peau et muqueuses, adp/r