Traveller's Health Flashcards

1
Q

What are the symptoms of motion sickness?

A

mild
- nausea, discomfort in upper abdomen, feeling of being unwell

severe
- pale skin, cold sweat, dizziness, fainting, increased production of saliva, vomiting

additional symptoms
- rapid, shallow breathing
- headache, drowsiness, extreme tiredness

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2
Q

What are medicinal treatments for motion sickness? What are their side effects?

A

hyoscine (scopolamine)
promethazine (avomine)
cyclizine (valoid)
cinnarizine (stugeron)

side effects
- drowsiness, headaches, pins and needles, dry mouth, blurred vision, constipation

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3
Q

What are non-medicinal treatments for motion sickness?

A

ginger
- tea, tablets, biscuits

acupressure bands
minimise head and body movements
lie horizontally
fix vision on a stable object
distractions - music, focus on breathing
avoid large meals or alcohol

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4
Q

What are risk factors for deep vein thrombosis?

A

inactivity
overweight
oestrogen therapy - contraceptives, HRT
pregnancy
inherited clotting disorders
increased age
dehydration
smoking
varicose veins

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5
Q

What are the symptoms of DVT?

A

pain, swelling and tenderness of legs
heavy ache in affected area
warm skin in region of clot
redness of skin

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6
Q

What is the main complication of DVT?

A

pulmonary embolism
- piece of the clot breaks off into the bloodstream and blocks a blood vessel in the lungs

  • breathing difficulties, chest pain, collapsed lungs, heart failure
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7
Q

What are medicinal and non-medicinal treatments for DVT?

A

anticoagulation
- heparin
- warfarin

graduated compression hosiery
raising the legs

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8
Q

How can DVT be prevented?

A

drink plenty of water
avoid excessive alcohol
avoid taking sleeping pills
take occasional short walks
wear loose and comfortable clothing
wear graduated compression hosiery

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9
Q

What is jet lag? What can it be caused by?

A

a feeling of tiredness and confusion after a long aircraft journey

causes
- disruption of circadian rhythm
- reduced oxygen levels
- dehydration
- lack of sleep
- drinking alcohol
- stress

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10
Q

What are symptoms of jet lag?

A

sleep disturbance
indigestion
constipation
diarrhoea
nausea
loss of appetite
difficulty concentrating
feeling disoriented
anxiety
irritability
lethargy

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11
Q

What is the treatment for jet lag?

A

melatonin
sleeping tablets
- diphenhydramine
- promethazine

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12
Q

What are the symptoms of sunburn?

A

red, sore skin - erythema
warm skin
tender to touch
flaking, peeling

blisters
swollen
chills
fever
malaise

heat exhaustion - dizziness, headache, nausea

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13
Q

What can be used to treat sunburn?

A

water - cold compress, sponges
moisturiser
painkillers
burn cream/dressings

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14
Q

When should people be referred for skin cancer?

A

small lumps - waxy, smooth, bleed/develop a crust
flat, red spots - scaly, crusty
firm, red lumps - painless, grow slowly
lumps with scaly/horny top
moles and freckles

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15
Q

What is miliaria? Who is most likely to be affected?

A

also known as prickly heat
- rash of small, raised spots that can cause mild swelling, itching and a stinging/prickling sensation
- on the face, neck, back, chest or thighs

most likely to be affected
- overweight/obese people, babies and children
- hot climate
- illness and immobility

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16
Q

How can miliaria be treated?

A

calamine lotion
hydrocortisone cream

keep the skin cool
wear loose cotton clothing

17
Q

What are the symptoms of malaria? What complications are associated?

A

symptoms
- fever, sweats, chills, malaise, myalgia, headache, vomiting, diarrhoea, cough

complications
- breathing problems, organ failure, severe anaemia

cerebral malaria
- seizures, coma, death

18
Q

What are the symptoms of insect bites?

A

symptoms
- red, swollen, itchy

infected bites
- blisters, pus, tender to touch, swollen glands, flu-like symptoms

anaphylaxis
- wheezing, breathing difficulties, tachycardia, swollen face/mouth
- nausea, vomiting, dizziness, diarrhoea
- confusion, agitation, anxiety

19
Q

What are types of insect repellant?

A

DEET (di-ethyltoluamide)
di-methyl pthalate
eucalyptus oil/citronella oil

20
Q

What is traveller’s diarrhoea? What is it caused by?

A

three or more loose stools in 24 hours
associated symptoms
= nausea, vomiting, fever, abdominal cramps, faecal urgency, blood/mucus in stools

caused by enteropathogens
- contracted via contaminated food and water

most cases are self-limiting
- 72 hours

21
Q

What are the treatments for traveller’s diarrhoea?

A

primary treatment - rehydration
- drink plenty of fluids
- oral rehydration sachets = replace water, glucose, salts

secondary treatments - medicines
- loperamide = anti-motility medicine
- analgesics = antipyretics
- antibiotics