Doctor's Bag

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So how does one stock a boat with medical supplies for a 6 day trip on the open seas?

Roy and Robin were given this list as part of their preparatory seminars. When I came on board I assumed the mantle of the Ship Doctor (real one that is ;-) and was thus entrusted with THE LIST! I made a few modifications (see my comments) but this proved to be a useful guide. 

The list was supplemented by other very important first aid and preventive elements - bandaids, bandages, disinfectants, sunburn cream, insect repellant and things of a similar ilk.

Of course it should also be emphasised that all crew members should bring their OWN medications - anything they take regularly or may need on occasion. 

The List

Medication

Dose

Qty

Rx or OTC

Category

Warriordoc's Comments

acetaminophen

325 mg

100

otc

 analgesic

-

ibuprofen

200 mg

100

otc 

analgesic

-

ranitidine

75 mg

20

otc

otc antacid

-

Mylanta II

tablet

12

otc 

antacid tablets

-

diphenhydramine

25 mg

24

otc

antihistamine

 Any antihistamine will be just fine. These make you sleepy

Robitussin DM

bottle

4 oz

otc 

cough suppressant

-

pseudoephedrine

30 mg

24

otc

decongestant

-

oral rehydration salts

powder packs

6

otc 

-

Gatorade does the trick

aspirin

325 mg

10

otc

platelet inhibitor

Good for migraines too!

eye wash

sterile

4 oz

otc 

-

-

Bacitracin

30 g

1

otc 

topical

Antibiotic ointment

clotrimazole 1% cream

30 g

1

otc

topical

Anti-fungal

hydrocortizone 1% cream

30 g

1

otc 

topical

Anti-inflammatory

silvadene 1% cream

50 g

1

Rx 

topical

For burns

EpiPen

0.3 mg

2

Rx

allergy

For anaphylactic reactions

prednisone

10 mg

30

Rx

allergy

For anaphylactic reactions

lidocaine 20 cc

1% plain

1

Rx

anesthetic

-

cephalexin

500 mg

40

Rx

antibiotic

I think we stuck with lots of cipro

ciprofloxacin

500 mg

20

Rx

antibiotic

doxycycline

100 mg

40

Rx

antibiotic

Always handy but if you take it stay out of the sun!

metronidazole

250 mg

30

Rx

antibiotic

--

loperamide

2 mg

20

Rx

anti-diarrheal

--

meclizine

25 mg

60

Rx

anti-emetic

For seasickness

promethazine supp

25 mg

6

Rx

anti-emetic

Ouch! I think we went with oral

scopalamine patches

1.5 mg

20

Rx

anti-emetic

Always good to have more than one type

lidocaine 20 cc

1% plain

1

Rx

anesthetic

-

cephalexin

500 mg

40

Rx

antibiotic

I think we stuck with lots of cipro

ciprofloxacin

500 mg

20

Rx

antibiotic

--

doxycycline

100 mg

40

Rx

antibiotic

Always handy but if you take it stay out of the sun!

metronidazole

250 mg

30

Rx

antibiotic

--

loperamide

2 mg

20

Rx

anti-diarrheal

-

meclizine

25 mg

60

Rx

anti-emetic

For seasickness

promethazine supp

25 mg

6

Rx

anti-emetic

Ouch! I think we went with oral

scopalamine patches

1.5 mg

20

Rx

anti-emetic

Always good to have more than one type

albuterol spray

inhaler

1

Rx

bronchodilator

-

metoprolol

50 mg

8

Rx

cardiac

-

nitroglycerin patch

0.2 mg/hr

4

Rx

cardiac

Only one of these is necessary

Nitrotabs sublingual tablets

1/150 gr

1

Rx

cardiac

"

bisacodyl suppository

10 mg

4

Rx

laxative

-

acetic acid otic suspension

2%

2

Rx

topical antibiotic

For ears

gentamicin ophthalmic solution

3% 5cc

1

Rx

topical antibiotic

For eyes

activated charcoal

50 g

1

Rx

universal antidote

i.e. makes you spew!

clotrimazole vaginal suppos.

200 mg

6

Rx

OBGYN

This was embarrassing - Robin picked up one tube each for both of us!

phenazopyridine

200 mg

6

Rx

OBGYN

-

 

                          Rx = prescription      OTC = over the counter

Thanks to Kurt McCartney who helped me out with scripts

Organisation of the Kit

In order to save space and ensure that the medications were easy to access, I removed all external packaging and but each type of medication in its own ziploc bag. I labelled each bag with the name of the drug, its dosage and what it was used for. I made sure that this information was provided in layman's terms as there would be no onboard medic for the journey home.

I then took each bag and put them in category bags (e.g. analgesics; motion sickness, etc) and then organised them into boxes. The final step was to prepare a list of where everything was (see below). This system seem to work pretty well although fortunately it was not really put to the test on either leg of the voyage (except for the motion sickness package!).

BOX #

TITLE

Bag #/TITLE

DRUGS

1 LOTIONS i i
2 MEDICATIONS  1. Pain Tylenol 
Tylenol night time
Ibuprofen 400mg, 800mg
Aspirin
-

 

- 2. Allergies, Anaphylaxis Albuterol inhaler
Diphenhydramine
Prednisone
Epi-pen
-

 

-

 

3. Colds & Infections Nasal spray
Sudafed
Metrodnidazone
Ciprofloxacin
Fluconazole
-

 

-

 

4. Stomach Ailments Loperamide
Bisacodyl
Zantac
Pepto Bismol tabs
-

 

-

-

 

5. Topical Antibiotic ointments
Cortisone
Benadryl
Oral soothers
Silvadene
Anti-fungal
- - 6. Eyes Erythromycin oint.
Eye drops
- - 7. Motion Sickness Dramamine
Phenergan
Antivert
- 8. Heart Nitroglycerin solution
MISCELLANEOUS - 1st aid, cough meds 
DRESSINGS etc -

 

We took a couple of lots of suturing material and some dressing packs as well. Also don't forget some steri- or butterfly strips

Questions?

 

Copyright © Warriordoc, Joe Shearer, Roy and Robin Taylor, Bud and Jeannie Starr, 2001, 2002. 
All Rights Reserved.

Revised:09/09/02