First aid climbing kit

During the ascents, in case of an unforeseen illness or injury, the participants of the MCS AlexClimb climbing programs have the opportunity to use the Basic set of medicines, designed for first aid in the mountains.

It should be understood that none of the drugs on this list is a means of long-term or intensive treatment. In the event of an emergency situation on the route, absolute priority is placed on the immediate evacuation of the victim to the conditions where he can receive qualified medical care.

All participants in our programs are required to have special mountaineering insurance covering the risks of mountaineering and rockclimbing (in most cases, the cost of this insurance is included in the total cost of the mountain climbing program).

Guides on the routes, having an unconditional qualification in mountaineering, are not professional doctors and do not have the right to provide medical care that requires professional medical qualifications. Thus, the mountain guide on the route is required not only to be able to provide medical assistance, but to determine the presence of a problem in a timely manner and take measures for immediate evacuation.

In other words - if you get a headache (pain in stomach, arm, tooth) on the climbing route - you can use a painkiller or stomach remedy from the list below. But if the problem persists and progresses - there are no treatment options on the route - you must immediately notify the guide and the insurance company, take measures to terminate the program and evacuate to the hospital as soon as possible.

Your health is much more important than any achievements in mountaineering and rockclimbing - in accordance with this principle, all our programs are conducted and priorities are set. Therefore, we always have a basic set of medicines for emergency case on the routes, but the main emphasis is on the proper preparation, full acclimatization, control of the health condition of the participants in order to avoid and prevent the occurrence of any situations that threaten to your health.

I wish you happy and healthy climbs!

Public First Aid Kit Personal First Aid Kit (Recommended)

1. Dressings Plaster;


2. Bandages are sterile and non-sterile wide and narrow;


3. The bactericidal patch and in a roll;


4. Zovirax;


5. Sunblock SF 50;


6. Antiseptics of external action Vitamins (multivitamins) - Supradin;


7. Glucose ascorbic acid (tablets);


8. Iodine (alcohol solution);


9. Inflammatory diseases of the skin and mucous membranes, myositis, neuralgia (as a distraction), atherosclerosis, tertiary syphilis. Outwardly, to damaged areas of the field.


10. Panthenol. Foamy spray. abrasions, burns, scalds, aseptic surgical wounds. Spray several times a day on damaged skin from a distance of 10-20 cm;


11. Furatsilin. Tablets. purulent wounds; pressure sores; burns II – III Art .; to prepare the granulating surface for skin transplants; blepharitis; conjunctivitis; boils of the external auditory canal; osteomyelitis; empyema of the paranasal sinuses and pleura (lavage of the cavities); acute external and middle otitis media; stomatitis; gingivitis Outwardly, in the form of aqueous 0.02% (1: 5000) or alcohol 0.066% (1: 1500) solutions - irrigate wounds and apply wet dressings. Intracavitary - washed maxillary and pleural cavity, oral cavity. To prepare an aqueous solution, 1 part of nitrofural is dissolved in 5000 parts of an isotonic solution of sodium chloride or distilled water. The solution is sterilized at 100 ° C for 30 minutes. An alcohol solution is prepared in 70% ethyl alcohol;


12. Hydroperitis. Inflammatory diseases of the mucous membranes, purulent wounds, capillary bleeding from superficial wounds, nosebleeds; stomatitis, tonsillitis, gynecological diseases (disinfection). Outwardly, 1–4 tablets per glass of water to rinse the mouth and throat (0.25% solution) and washings (1% solution);


13. Potassium permanganate For lubrication and lotions, for washing wounds, rinsing the mouth and throat, rinsing and douching in urological and gynecological practice. Inside, potassium permanganate is prescribed for gastric lavage in case of various poisonings. Externally (in aqueous solutions): for washing wounds - 0.1–0.5%, for rinsing the mouth and throat - 0.01–0.1%, for lubricating ulcerative and burn surfaces - 2–5%, for douching and washings - 0.02-0.1%;


14. Levosin. Ointment. Purulent wounds (local treatment) in the purulent-necrotic phase of the wound process; infected skin wounds of various etiologies (burns, wounds, difficult to heal ulcers). Locally, sterile gauze wipes, impregnated externally with ointment, are applied to the affected areas of the body or, through a catheter (drainage tube), an ointment preheated to 35–36 ° C is injected into the cavity of the purulent process daily until the wound is completely cleansed.

Eye and ear lesions

1. Albucid (Sulfacyl Sodium). Drops. Purulent corneal ulcers, conjunctivitis, blepharitis, gonorrheal eye diseases. Apply 2-3 drops in the lower conjunctival sac of each eye 5-6 times a day;


2. Sofradex. Eye and ear drops. - superficial bacterial infections of the eyes, accompanied by a pronounced inflammatory or allergic component; - blepharitis; - infected eczema of the eyelids; - allergic conjunctivitis; - keratitis with rosacea; - scleritis, episcleritis; - iridocyclitis, iritis; - external otitis media. Instill 1-2 drops in the affected eye up to 6 times / day or more often (if necessary). In the external auditory meatus instill 2-3 drops 3-4 times / day (administered gradually 1 drop).

Analgesic and antipyretic drugs

1. Analgin. Feverish syndrome (infectious and inflammatory diseases, insect bites - mosquitoes, bees, gadflies, etc., post-transfusion complications); Pain syndrome (mild to moderate severity): incl. neuralgia, myalgia, arthralgia, biliary colic, intestinal colic, renal colic, injuries, burns, decompression sickness, herpes zoster, orchitis, radiculitis, myositis, postoperative pain, headache, toothache, algomenorrhea, etc. Inside, 250-500 mg 2-3 times a day, the maximum single dose - 1 g, daily - 3 g;


2. Baralgin. The drug is used for pain caused by spasms of smooth muscles (renal, hepatic, intestinal colic, stomach cramps), with migraine, angina pectoris. Inside, 1-2 tablets 3 times a day. In severe cases, you can enter intramuscularly or slowly intravenously;


3. Citramon for the treatment of headaches of various origins, colds and other diseases of an infectious and inflammatory nature. 1-2 tablets 3 times a day before meals;


4. Solpadein. Pain syndrome of mild to moderate severity: headache, migraine, ossalgia, myalgia, neuralgia, arthralgia, radiculitis, algodismenorea, toothache, sinusitis, sore throat, post-traumatic pain; febrile syndrome, "colds" diseases. Inside, adults 1 tablet 3-4 times a day at intervals of at least 4 hours; if necessary, an increase in a single dose of up to 2 tablets 4 times a day is possible. The maximum daily dose is 8 tablets;


5. Aspirin for pain; febrile conditions for infectious and inflammatory diseases (flu, etc.), for the treatment and prevention of rheumatism and rheumatic diseases. Inside. In case of pain syndrome (including inflammatory genesis), feverish conditions, rheumatic diseases, a single dose for adults is 0.5-1 g, a daily dose is up to 3 g. For stopping a migraine attack, a single dose is 1 g, a daily dose is 3 g;


6. Tramal. Pain syndrome of medium and strong intensity of various etiologies (postoperative period, trauma, pain in cancer patients). Anesthesia during painful diagnostic or therapeutic procedures. Inside, regardless of food intake, capsules - with a small amount of liquid. A single dose - 50-100 mg (1-2 caps., 20-40 drops, 1 supp., 1-2 ml of solution d / in.), In case of failure to achieve a satisfactory effect after 30-60 minutes, a single dose is repeated. With severe pain, the initial dose is 100 mg, the daily dose is 400 mg.

Cardiovascular

1. Valocordin. Vasomotor disorders, neurosis, irritability, anxiety, coronary spasm (mild), IHD, tachycardia, insomnia, arterial hypertension (early stages), cardialgia. Inside, before meals, with a little liquid. Adults - 15-20 cap 3 times a day. If necessary, a single dose can be increased to 30 cap;


2. Xanthinol nicotinate (compliment, xavin, teonikol). Obliterating atherosclerosis of limb vessels, Raynaud's disease, thromboangiitis obliterans (Buerger's disease), endarteritis obliterans, diabetic angiopathy, retinopathy, acute thrombophlebitis (superficial and deep venous gallbladder disease, post-thrombosis, post-stroke migraine, Meniere's syndrome, cerebrovascular insufficiency, cerebrovascular arteriosclerosis, cerebrovascular accident, dermatosis due to impaired trophic vascular origin , Sclerosis, scleredema Buschke, coronary atherosclerosis, hypercholesterolemia, hypertriglyceridemia, fetal and post-natal asphyxia. Inside, in / m, in / in (stream or drip). Inside, after eating, starting with 150 mg 3 times a day; if necessary, increase the dose to 300-600 mg 3 times a day. The tablets are swallowed whole without chewing. As the patient's condition improves, the dose is reduced to 150 mg 2-3 times a day. The course of treatment usually lasts at least 2 months. V / m - 2-6 ml of a 15% solution daily for 2-3 weeks. In / in a jet - 2 ml of a 15% solution 1-2 times a day (the patient should be in a horizontal position) for 5-10 days. In / in a drop - at a speed of 40-50 drops / min, diluting 10 ml of a 15% solution in 200-500 ml of a 5% dextrose solution or in 200 ml of a 0.9% NaCl solution. In acute disorders of blood supply to the tissues, along with the parenteral administration of xanthinol nicotinate, oral administration is indicated, 300 mg 3 times a day;


3. Validol In case of angina attacks, neurosis, hysteria, migraine, sea and air sickness in order to reduce nausea and vomiting. Drops. Sublingually, 3-6 drops of a solution of sugar at a reception, keep in your mouth until completely dissolved. The daily dose usually includes 3-4 doses (up to 9-24 cap / day). If necessary, the dose may be increased. Tablets. Sublingually, 1 tablet 2-3 times a day. The multiplicity and duration of admission is determined depending on the effectiveness of the treatment;


4. Nitroglycerin ischemic heart disease: angina pectoris (treatment, prevention), myocardial infarction (rehabilitation). For iv administration - acute myocardial infarction (including complicated by acute LV failure); unstable and post-infarction angina pectoris; pulmonary edema, angina pectoris (refractory to other types of therapy), controlled hypotension during surgery to reduce bleeding in the surgical field, occlusion of the central retinal artery. I / O (it is necessary to dilute in a 5% glucose solution or isotonic solution to a final concentration of 50 or 100 μg / ml): 0.005 mg / min, the dose is increased by 0.005 mg / min every 3-5 minutes until the effect is achieved or speed reaches 0, 02 mg / min (with inefficiency - a further increase of 0.01 mg / min). Sublingual: tablets - 0.15-0.5 mg per dose, if necessary again after 5 minutes; aerosol - to stop an attack of angina pectoris - 1-2 doses under the tongue by pressing the metering valve (you can repeat, but not more than 3 doses for 15 minutes). In the case of acute left ventricular failure, 4 or more doses are possible for a short period. Transdermal: stick each time to a new area of the skin and leave for 12-14 hours, then removed to provide a break for 10-12 hours to prevent the development of tolerance. Inside: tablets and capsules are taken without chewing or breaking, 2–4 times a day before meals, preferably 30 minutes before exercise, a single dose is 5–13 mg; due to poor bioavailability, a single dose may increase to 19.5 mg. Sub buccally: the tablet is placed on the mucous membrane of the oral cavity (behind the cheek) and held until completely resorbed: 2 mg 3 times a day.


5. Ammonia. Fainting, poisoning with alcohol and other substances, disinfection of the skin of the hands, neutralization of acidic toxins in the bites of insects and snakes. Inhalation, bring a moistened piece of cotton to the nose. Inside - 5-10 drops per 100 ml of water. For washing hands - 25 ml per 5 l of warm boiled water. Outwardly, in the form of lotions (for insect bites).

Antiallergic

1. Suprastin. Tablets. Allergic conjunctivitis, vasomotor rhinitis, urticaria, hay fever, angioedema, serum sickness, drug rash, skin diseases (atopic dermatitis, contact dermatitis, toxicoderma, eczema). Inside, during meals, adults - 25-50 mg (1-2 tablets) 3-4 times a day.

Antispasmodics

1. No-shpa. Prevention and treatment: spasm of smooth muscles of internal organs (renal colic, biliary colic, intestinal colic, biliary dyskinesia and gall bladder hyperkinetic type, cholecystitis, postcholecystectomy syndrome); pyelitis; spastic constipation, spastic colitis, proctitis, tenesmus; pylorospasm, gastroduodenitis, peptic ulcer of the stomach and duodenum (in the exacerbation phase, as part of complex therapy - to relieve spastic pain syndrome). Endarteritis, spasm of peripheral, cerebral and coronary arteries. Inside, adults - 40-80 mg 3 times a day; in / m, s / c - 40-80 mg 1-3 times a day. For the relief of hepatic and renal colic - in / in slowly, 40-80 mg. With spasms of peripheral vessels, the drug can be administered in / a.

Respiratory diseases

1. Pharyngosept. Prevention and treatment of acute infectious and inflammatory diseases of the oral cavity and larynx: tonsillitis, gingivitis, stomatitis, pharyngitis, postoperative treatment for tonsillectomy and tooth extraction. Locally, 15-30 minutes after eating, the tablets slowly dissolve in the mouth. Adults: 0.04-0.05 g (4-5 tablets) per day for 3-4 days. Children 3-7 years old - 0.03 g / day. It is necessary to refrain from eating within 3 hours after ingestion. The optimal therapeutic concentration in saliva is achieved by taking 3-5 tablets per day for 3-4 days;


2. Libexin. Dry cough: ARVI, laryngitis, pharyngitis, bronchitis, bronchopneumonia, bronchial asthma, emphysema, bronchial tumor, dry and exudative pleurisy, pulmonary infarction, spontaneous pneumothorax; preparation for bronchoscopy and bronchography (in combination with atropine) Inside, without chewing. Adults - 100-200 mg 3-4 times a day. Children - 25-50 mg 3-4 times a day, depending on age and body weight. When preparing the patient for instrumental research methods - for 1 h at a dose of 0.9-3.8 mg / kg, in combination with atropine.


3. Bromhexine. Respiratory tract diseases accompanied by difficulty in viscous sputum discharge: tracheobronchitis, bronchitis of various etiologies (including complicated by bronchiectasis), asthma, pulmonary tuberculosis, pneumonia (acute and chronic), cystic fibrosis. Remediation of the bronchial tree in the preoperative period and during medical and diagnostic intrabronchial procedures, prevention of accumulation of thick viscous sputum in the bronchi after surgery. Inside (syrup, tablets and dragees - for children over 6 years old, drops, oral solution), for adults and children over 14 years old - 8-16 mg 3-4 times a day;


4. Fluimucil. Bronchitis, pneumonia, bronchiectasis, cystic fibrosis, lung abscess, pulmonary emphysema, bronchiolitis, catarrhal and purulent otitis media, sinusitis, pharyngitis, laryngotracheitis. Postoperative respiratory complications (prevention and treatment). Preparation for bronchoscopy, bronchography, aspiration drainage. For washing abscesses, nasal passages, maxillary sinuses, eardrum; treatment of fistulas, the surgical field during operations on the nasal cavity and mastoid process. V / m, adults - 500 mg 2-3 times a day. If necessary, the dose can be increased by 2 times. The course of treatment is no more than 10 days. Inhalation: for adults - 250 mg 1-2 times a day. Endotracheally, through a bronchoscope, endotracheal tube, tracheostomy - 1-2 ml of solution (for adults dissolve 500 mg of dry matter, for children - 250 mg). Locally: 1-2 ml of solution (for adults, dissolve 500 mg of dry matter, for children - 250 mg). For diseases of the nasopharynx and ear, instill 2-4 drops in each nasal passage or external auditory meatus;


5. Tsifran. Treatment of infections caused by susceptible microorganisms: acute sinusitis, infectious and inflammatory diseases of the lower respiratory tract, including pneumonia, exacerbation of chronic bronchitis and infectious complications of cystic fibrosis, pyelonephritis, cystitis (including complicated), chronic bacterial prostatitis, gonorrhea, complicated intra-abdominal inflammatory diseases (used in combination with metronidazole), cholecystitis, cholangitis, inflammatory diseases of the skin, inflammatory diseases of the braid joints and joints (including acute and chronic osteomyelitis), diarrhea of infectious origin, typhoid fever. Acute sinusitis Mild / Medium 1000 Every 24 10 days Infectious-inflammatory diseases of the lower respiratory tract Mild / Medium 1000 Every 24 7-14 days Severe / Complicated 1500 Every 24 7-14 days Urinary tract infections Acute uncomplicated 500 Every 24 3 days Mild / Medium 500 Every 24 7-14 days Severe / Complicated 1000 Every 24 7-14 days Chronic bacterial prostatitis Mild / Medium 1000 Every 24 28 days Intra-abdominal infections * Complicated 1000 Every 24 7-14 days Infectious skin diseases Mild / Medium 1000 Every 24 7 –14 days T Wishing / Complicated 1,500 Every 24 7–14 days Infectious diseases of bones and joints Light / Medium 1,000 Every 24> 4–6 weeks Severe / Complicated 1,500 Every 24> 4–6 weeks Diarrhea of infectious origin Light / Medium / Severe 1,000 Every 24 5– 7 days Typhoid fever Easy / Medium 1000 Every 24 10 days Gonorrhea Acute uncomplicated 500 Once 1 day Complicated 500 Every 24 3-5 days.

Diseases of the stomach and intestines

1. Festal. External secretory insufficiency of the pancreas, stomach, intestines, liver, gall bladder (chronic inflammatory and dystrophic diseases of these organs, the state after resection or irradiation); flatulence, diarrhea of non-infectious genesis; cystic fibrosis. To improve the digestion of food in people with normal gastrointestinal function in case of errors in nutrition (eating fatty foods, large amounts of food, irregular meals); with violations of chewing function (damage to the teeth and gums, in the period of getting used to the artificial jaw); sedentary lifestyle; prolonged immobilization. Inside, 1 tablet (enteric-coated tablet) 3 times a day during or immediately after a meal. Swallow whole, do not chew. If necessary, a single dose is increased by 2 times. Duration of treatment - from several days (in case of digestive disorders due to nutrition errors) to several months and years (if necessary, constant replacement therapy);


2. Bellalgin. As a symptomatic remedy for pain in gastrointestinal diseases, accompanied by increased secretion of gastric juice and smooth muscle spasms (hyperacid gastritis, peptic ulcer of the stomach and duodenum, heartburn, belching; gastralgia, spastic colitis, smooth muscle spasm of the organs) . Inside, before meals, 1 tablet 2-3 times a day. The highest single dose for adults is 3 tablets, daily - 10 tablets. The duration of treatment is determined by the doctor;


3. Furazolidone. Dysentery, paratyphoid, giardiasis, foodborne toxicoinfection; Trichomonas colpitis, urethritis; infected wounds and burns. Inside, after a meal. In case of dysentery, paratyphoid and food poisoning infections - 100-150 mg 4 times a day (but not more than 800 mg) for 5-10 days. With trichomonas colpitis - 100 mg 3-4 times a day for 3 days, and at the same time 5-6 g of powder containing furazolidone with milk sugar in a ratio of 1: 400-1: 500 are injected into the vagina, and candles are inserted into the rectum containing 4-5 mg. The course of treatment is 7-14 days. With trichomonas urethritis, by mouth, 100 mg 4 times a day for 3 days. With giardiasis: adults - 100 mg 4 times a day, children - 10 mg / kg / day, distributing the daily dose for 3-4 doses. The highest single dose for adults is 200 mg; daily - 800 mg. For the treatment of burns and wound infections, apply topically, in the form of irrigation or wet-drying dressings with a solution of furazolidone (1: 25000);


4. Sulgin. Bacterial dysentery, colitis, enterocolitis; preparation for operations on the large intestine. In acute dysentery, 2 courses of treatment are performed. The first course: on the 1st and 2nd day - 1 g every 4 hours (total 6 g / day), on the 3rd and 4th day - 1 g every 6 hours (4 g / day), on the 5th and 6th day - 1 g every 8 hours ( 3 g / day). If necessary, after 5-6 days, conduct the second course: 1 and 2 days - 1 g every 4 hours, at night - after 8 hours (5 g / day in total), 3 and 4 days - 1 g after 4 hours (4 g / day), do not give at night, 5 day - 3 g / day. In the treatment of other infections: adults - inside, 1-2 g every 4-6 hours; in the next 2-3 days - half the dose. For the prevention of postoperative complications from the intestine - 0.05 g / kg every 8 hours, for 5 days before and 7 days after surgery. Highest doses for adults: single - 2 g, daily - 7 g;


5. Activated. Charcoal poisoning with alkaloids, glycosides, salts of heavy metals, food intoxication; foodborne infection, dysentery, salmonellosis, burn disease in the stage of toxemia and septicotoxemia; renal failure, chronic hepatitis, acute viral hepatitis, cirrhosis, atopic dermatitis, bronchial asthma, gastritis, chronic cholecystitis, enterocolitis, cholecystopancreatitis; poisoning with chemical compounds and drugs (including organophosphorus and organochlorine compounds, psychoactive drugs), allergic diseases, metabolic disorders, withdrawal alcohol syndrome; intoxication in cancer patients on the background of radiation and chemotherapy; preparation for x-ray and endoscopic examinations (to reduce the gas content in the intestine). Inside, in the form of an aqueous suspension or in tablets 1-2 hours before or after eating and taking other drugs. The average dose is 100-200 mg / kg / day (in 3 divided doses). The duration of treatment is 3-14 days, if necessary, a second course is possible after 2 weeks. In case of poisoning and intoxication - 20-30 g in the form of an aqueous suspension: the required amount of powder for suspension is diluted in 100-150 ml of water (1 g contains 1 g). In acute poisoning, treatment begins with gastric lavage with a 10-20% suspension, then they are taken orally - 20-30 g / day. Treatment is continued at the rate of 0.5-1 g / kg / day in 3-4 doses for 2-3 days. With dyspepsia, flatulence - 1-2 g 3-4 times a day. The course of treatment is 3-7 days. The course of treatment for diseases accompanied by processes of fermentation and rotting in the intestine, increased secretion of gastric juice, lasts 1-2 weeks. Adults - 10 g 3 times a day; children under 7 years old - 5 g each, 7-14 years old - 7 g each;


6. Senade. Constipation (gastrointestinal hypo- and atony, flaccid peristalsis of the colon, including after surgery, childbirth). Inside, adults and children over 12 years of age - before bedtime, depending on the dosage form, 1-2 tablets or 1 / 2-1 cubes; in the absence of effect, increase the dose after a few days to 2-3 tablets per dose. The dose for children 1-6 years old is 1/3, and for children 6-12 years old - 1/2 doses of adults;


7. Imodium. Diarrhea (acute and chronic of various origins: allergic, emotional, drug, radiation; with a change in diet and quality of food, in violation of metabolism and absorption). Regulation of stool in patients with ileostomy. As an auxiliary drug - diarrhea of infectious origin. Inside (capsules - without chewing, washed down with water; a lingual tablet - on the tongue, within a few seconds it breaks up, after which it is swallowed with saliva without washing down with water). In acute diarrhea, adults are prescribed an initial dose of 4 mg; then - 2 mg after each bowel movement (in the case of liquid feces); the highest daily dose is 16 mg;


8. Cerucal. Vomiting, nausea, hiccups of various origins, in some cases, can be effective for vomiting caused by radiation therapy or cytostatics, atony and hypotension of the stomach and intestines (in particular, postoperative); biliary dyskinesia; reflux esophagitis, flatulence, exacerbation of gastric ulcer and duodenal ulcer (as part of complex therapy), during X-ray contrast studies of the gastrointestinal tract (to enhance peristalsis). Inside. Adults - 5-10 mg 3-4 times a day 30 minutes before meals, swallow the tablet whole and drink it with a small amount of water. The maximum single dose is 20 mg, daily - 60 mg;


9. Rehydron. Dehydration: diarrhea (including in children). The contents of the bag are dissolved in 1 liter of freshly boiled, chilled drinking water. The prepared solution is given to the child to drink after each liquid stool, for 6-10 hours. The injected amount of the solution is calculated by the estimated loss of liquid. The minimum dose is 30 ml / kg for 6-10 hours. The average dose for outpatients is 60 ml / kg;


10. Smecta. Diarrhea (allergic, drug genesis; violation of the diet and the quality of food), gastritis, peptic ulcer of the stomach and duodenum, colitis; infectious diarrhea - as part of complex therapy. Inside, 3 g (1 sachet) 3 times a day. The contents of the bag are dissolved in water, gradually pouring in the powder and stirring it evenly.

Anti-infectious

1. Ampioks. Capsules Bacterial infections caused by sensitive pathogens: sinusitis, tonsillitis, otitis media; bronchitis, pneumonia; cholangitis, cholecystitis; pyelonephritis, pyelitis, cystitis, urethritis, gonorrhea, cervicitis; infections of the skin and soft tissues: erysipelas, impetigo, secondarily infected dermatoses, etc. Prevention of postoperative complications during surgical interventions (including against the background of immunodeficiency), infections in newborns (infection of amniotic fluid; impaired respiration of the newborn, requiring resuscitation; risk of aspiration pneumonia). Severe infections (sepsis, endocarditis, meningitis, postpartum infection). Inside, a single dose for adults and children over 14 years old is 0.5-1 g, daily - 2-4 g. Treatment duration - from 5-7 days to 2 weeks. The daily dose is divided into 4-6 doses;


2. Erythromycin. Tablets of 0.1 and 0.25 g. Bacterial infections caused by sensitive pathogens: diphtheria (including bacteriocarrier), whooping cough (including prevention), trachoma, brucellosis, legionnaires disease, erythrasma, listeriosis, scarlet fever amoebic dysentery, gonorrhea; pneumonia in children, urogenital infections in pregnant women caused by Chlamydia trachomatis; primary syphilis (in patients with an allergy to penicillins), uncomplicated chlamydia in adults (with localization in the lower urinary tract and rectum) with intolerance or inefficiency of tetracyclines, etc .; infections of ENT organs (tonsillitis, otitis media, sinusitis); biliary tract infections (cholecystitis); infections of the upper and lower respiratory tract (tracheitis, bronchitis, pneumonia); infections of the skin and soft tissues (pustular skin diseases, including youthful acne, infected wounds, pressure sores, burns of the II-III stage, trophic ulcers). Prevention of exacerbations of streptococcal infection (tonsillitis, pharyngitis) in patients with rheumatism. Prevention of infectious complications during medical and diagnostic procedures (including preoperative bowel preparation, dental interventions, endoscopy, in patients with heart defects). Gastroparesis (including gastroparesis after vagotomy surgery, diabetic gastroparesis and gastroparesis associated with progressive systemic sclerosis). It is an antibiotic reserve for allergies to penicillin.


3. Biseptol 480 (Bactrim, Septrin). Tablets. Urogenital infections: urethritis, cystitis, pyelitis, pyelonephritis, prostatitis, epididymitis, gonorrhea (male and female), soft chancre, venereal lymphogranuloma, inguinal granuloma; respiratory tract infections: bronchitis (acute and chronic), bronchiectasis, croupous pneumonia, bronchopneumonia, pneumocystis pneumonia; infections of ENT organs: otitis media, sinusitis, laryngitis, tonsillitis; scarlet fever; gastrointestinal tract infections: typhoid fever, paratyphoid, salmonella carriage, cholera, dysentery, cholecystitis, cholangitis, gastroenteritis caused by enterotoxic strains of Escherichia coli; infections of the skin and soft tissues: acne, furunculosis, pyoderma, wound infections; osteomyelitis (acute and chronic) and other osteoarticular infections, brucellosis (acute), South American blastomycosis, malaria (Plasmodium falciparum), toxoplasmosis (as part of complex therapy);


4. Sulgin. Bacterial dysentery, colitis, enterocolitis; preparation for operations on the large intestine. In acute dysentery, 2 courses of treatment are performed. The first course: on the 1st and 2nd day - 1 g every 4 hours (total 6 g / day), on the 3rd and 4th day - 1 g every 6 hours (4 g / day), on the 5th and 6th day - 1 g every 8 hours ( 3 g / day). If necessary, after 5-6 days, conduct the second course: 1 and 2 days - 1 g every 4 hours, at night - after 8 hours (5 g / day in total), 3 and 4 days - 1 g after 4 hours (4 g / day), do not give at night, 5 day - 3 g / day. Children under 3 years old - 0.2 g / kg / day in 3 divided doses; older than 3 years old - 0.4-0.75 g 4 times a day for 7 days. In the treatment of other infections: adults - inside, 1-2 g every 4-6 hours; in the next 2-3 days - half the dose. Children - on the first day at 0.1 g / kg / day in equal doses every 4 hours, on the following days - 0.2-0.5 g every 6-8 hours. For the prevention of postoperative complications from the intestines - at 0.05 g / kg every 8 hours, within 5 days before and 7 days after surgery. Highest doses for adults: single - 2 g, daily - 7 g;


5. Delagil. Malaria, amoebiasis, rheumatoid arthritis, systemic lupus erythematosus, photodermatitis. In / in a drop, in / m - on 10–20 ml of a 5% solution. For iv administration, a 50-fold dilution is used.

For external use

1. "Star";


2. Solcoseryl. Gel or ointment. Trophic disorders (trophic ulcers, pre-gangrene) against the background of peripheral vascular diseases (obliterating endarteritis, diabetic angiopathy, varicose veins); sluggish wounds, bedsores; chemical and thermal burns, frostbite, mechanical injuries (wounds); radiation dermatitis, ulceration of the skin, burns. Locally. Ointment and gel are applied to the damaged surface 1-2 times a day; freshly formed epithelium at the edge of the wound is treated with ointment. As soon as the epithelialization process captures a large area of the skin and the wound ceases to get wet, the ointment is completely switched on. Use with half-closed dressings is possible. Treatment of weeping and deep wounds should begin with the use of a gel. In cases of delayed healing processes, you should again return to using the gel;


3. Diclofenac. Inflammatory diseases of the musculoskeletal system (rheumatoid arthritis, psoriatic, juvenile chronic arthritis, ankylosing spondylitis, rheumatic lesions of the soft tissues; gouty arthritis); traumatic inflammation of the tendons, ligaments, muscles and joints (as a result of sprains, with exertion and bruises). Pain syndrome (lumbago, sciatica, neuralgia, myalgia, tendovaginitis, bursitis, rheumatic lesions of the soft tissues; degenerative diseases of the musculoskeletal system: deforming osteoarthritis, osteochondrosis). Outwardly. Ointment - 2-4 g is applied in a thin layer, gently rubbing into the skin, over the focus of inflammation 2-3 times a day. The maximum daily dose is 8 g. The course of treatment is 7-14 days. Gel - 2-4 g (the size of a walnut or cherry), depending on the area of the lesion, is applied 3-4 times a day to the affected areas and gently rubbed (can be used to enhance the effect together with other dosage forms of diclofenac); After applying, wash your hands.


4. Levomikol. Purulent wounds (including those infected with mixed microflora) in the first (purulent-necrotic) phase of the wound process. Locally. The drug is impregnated with sterile gauze napkins, which loosely fill the wound. It is possible to introduce into the purulent cavity through a catheter (drainage tube) using a syringe. In this case, the ointment is preheated to 35-36 degrees C. Dressings are performed daily, until the wound is completely cleansed of purulent-necrotic masses;


5. Balm "Rescuer". Balm Rescuer is designed to accelerate the healing of traumatic injuries, including accompanied by inflammation without scarring: wounds are superficial and deep; purulent processes in fresh wounds; burns of the I-III degree; bruises, bruises, abrasions; sprain; acute inflammatory processes on the skin and mucous membranes. It is applied liberally to the affected surface and, if necessary, is closed with a bandage with an insulating layer that prevents the absorption of the balm into the bandage. In process of absorption the Rescue Balm is applied repeatedly. The duration of healing depends on the size of the traumatic surface and the urgency of the first application of the balm.

For internal use

1. Furosemide. Tablets. Edematous syndrome in chronic heart failure II-III art., Cirrhosis of the liver, kidney disease (including against the background of nephrotic syndrome); acute heart failure (pulmonary edema), cerebral edema, hypertensive crisis (alone or in combination with other antihypertensive drugs), arterial hypertension (severe course), hypercalcemia; conducting forced diuresis in case of poisoning with chemical compounds excreted by the kidneys in unchanged form; eclampsia. In / in (rarely IM), parenteral administration is advisable in cases where it is not possible to take it inside - in urgent situations or with a pronounced edematous syndrome. Edematous syndrome: initial dose - 40 mg. In / in the introduction is carried out for 1-2 minutes; in the absence of a diuretic response, every 2 hours is administered in a dose increased by 50% until adequate diuresis is achieved. The average daily dose for iv administration in children is 0.5-1.5 mg / kg, the maximum is 6 mg / kg. Patients with reduced glomerular filtration and low diuretic response are prescribed in large doses - 1-1.5 g. The maximum single dose is 2 g. Inside, in the morning, before meals, the average single initial dose is 20-80 mg; in the absence of a diuretic response, the dose is increased by 20-40 mg every 6-8 hours until an adequate diuretic response is obtained. A single dose, if necessary, can be increased to 600 mg or more (required with a decrease in glomerular filtration and hypoproteinemia). In case of arterial hypertension, 20-40 mg is prescribed; in the absence of a sufficient decrease in blood pressure, other hypotensive drugs should be added to treatment. When furosemide is added to already prescribed antihypertensive drugs, their dose should be reduced by 2 times. The initial single dose in children is 2 mg / kg, the maximum is 6 mg / kg.;


2. Lasix edematous syndrome of various origins (including with chronic heart failure of stage IIB-III, cirrhosis, portal hypertension syndrome, nephrotic syndrome) Set individually, taking into account the severity of violations of water-electrolyte balance, the value of glomerular filtration, the severity of the patient's condition. During treatment, the dosage regimen is corrected depending on the magnitude of the diuretic response and the dynamics of the general condition. Inside, Lasix is usually prescribed on an empty stomach. Parenteral administration of the drug to patients whose oral administration is not possible, or in urgent cases. In / in the drug should be administered no faster than 1-2 minutes. With mild edematous syndrome, the average initial dose for adults is 20-80 mg when taken orally and 20-40 mg iv or, in exceptional cases, im. With persistent edema, the drug is reused parenterally or orally. Parenteral administration in a dose of 20-40 mg (in some cases, increase the dose by 20 mg); repeated administration is carried out not earlier than after 2 hours. Inside, a dose of 20-80 mg is prescribed (in some cases, increase the dose by 20-40 mg); repeated administration is possible no earlier than after 6-8 hours. The drug is used up to a diuretic effect. In an individually selected dose, Lasix can be used 1-2 times / day (for example, at 8 hours and 14 hours). The highest efficiency is achieved when taking the drug 2-4 days a week.

Tools

1. Scissors;


2. Tweezers;


3. Medical thermometer;


4. Scalpel;


5. Clamp;


6. Surgical needles with thread;


7. Stethoscope;


8. Surgical gloves.

The autor of the text and photos — Alex Trubachev

MCS EDIT 2023