Travellers With Chronic Illness? Flashcards
What should you do if you are travelling with oxygen or other equipment?
Notify airline
List general recommendations for patients with chronic illness?
1-chronic illness is well controled
2-pretravel consult 4 to 6 wks before departure
3-ask about previous health issues encoubtered during travel
4-provide physician letter with existing medical conditions, prescribed meds, equipment
5-pack meds in general containers & carry a copy of prescription
6-educate on drug interaction
7-supplemental health
8-health plan
9-medical alert bracelet
10-hydration, loose fitting cloths, walk and stretch
11- pack health kit
Which immunization considerations for a traveler with cardiovascular disease?
Influenza, pneumococcal, HB
Misc, carry nitro, meflo not recommended with cardiac conduction abnormalities, management of INR
Travelers with pulmonary diseasea should?
Considere: suppl. 0xyg., need of nebulizer, plan exacerbation of asthma, DVT prevent
Immunization: HB, influenza, pneumococcal
Carry short course of antibiotic& steroids, inhaler in carry-on
Travelers with GI illness should?
Condider prophylactic antibiotic for TD
Avoid undecook seafood if cirrhosis
Immunisation: influenza, HA, HB, pneumococcal
Misc: increase colostomy output during air travel
-H2 blockers & PPI increase susceptibility to TD
Use of meflo with caution with chronic liver disease
YF: limited data. Way risk benefit
Special consideration for renal failure traveler?
Plan self management of dehydration
- immunization: influ, HB, pneumo
- know HC,HB, HIV status
- malarone contraindicated when CrCL
What are the special consideration for diabetic traveller?
-plan self management of dehydration
- insulin adjustment
- check blood glucise 4 - 6 hours during air travel
-physician letter stating need for equipment
- immunization: influ, pneumo, HB
- misc: carry-on insulin in gluci meter
Food supply to manage hypoglycemia
- check feet daily
-Yf: limited data, weigh vaccine risk and benefit
