UNIT 1
HEALTH CARE RESOURCES AT SEA

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WHO Class A - list of medicines for the ship’s medical chest

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	Description of items	Units	Quantity	Notes
1	Acetylsalicylic acid, 300 mg tablets, 100s	Bottle	6	Also known as Aspirine ®
2	Alcohol, rubbing(70% ethyl alcohol), 500 ml	Bottle	6
3	Aluminium acetate, ear drops, 13 % solution in 20-ml bottle with dropper.	Bottle	6
4	Aluminium acetate powder, 2-g packets, for making equivalent aluminium acetate solution (Burrow´s) , 12s	Box	2	For external use only
5	Aluminium hydroxide gel, with magnesium hydroxide or magnesium trisilicate, oral suspension, 360 ml	Bottle	6
6	Aluminium hydroxide, with magnesium hydroxide or magnesium trisilicate, 1-g tablets, 100s	Bottle	10
7	Aminophylline suppository, rectal, 500 mg, 12s	Box	2	Refrigerate
8	Amitriptyline tablets, 25 mg, 100s	Bottle	1
9	Ampicillin capsules, 250mg, 100s	Bottle	3
10	Antihaemorrhoidal suppositories, 12s	Box	6	Refrigeration preferable
11	Ascorbic acid tablets (vitamin C), 50 mg, 100s	Bottle	3
12	Atropine sulfate injection, 0,5 mg/ml, 1-ml ampoules, 10s	Box	6
13	Benzathine benzylpenicillin, injection, 2.4 million units per 5-ml vial	Item	20
14	Benzoic and salicylic acid ointment, 30-g tube	Item	2
15	Calamine lotion, plain, 120ml	Bottle	8
16	Calcium gluconate, effervescent tablets, 1 g, 30s	Box	1
17	Cetrimide 40% solution, 500 ml (disinfectant)	Bottle	3	This is a concentrated (stock) solution; when 1% cetrimide is mentioned in the guide, the stock solution should be diluted
18	Charcoal, activated, powder, 120 g	Bottle	1
	Chloroquine phosphate tablets, 250 mg, 100s	Bottle	1	For the suppression and treatment of malaria
20	Chlorphenamine maleate tablets, 4 mg, 20s	Bottle	3
21	Chlorphenamine maleate injection, 10 mg, 1-ml ampoules, 10s	Box	2
22	Chlorpromazine hydrochloride tablets, 25 mg, 20s	Bottle	4
23	Chlorpromazine hydrochloride injection, 25 mg in 1-ml ampoules, 10s	Box	2
24	Clove oil, 20 ml	Bottle	2
25	Codeine sulfate tablets, 30 mg, 100s	Bottle	1	Controlled substance
26	Cycilzine hydrochloride tablets, 50 mg, 100s	Bottle	4
27	Dextran injection, 6%, and sodium chloride, 0.9%, 500 ml, with administration set	Bottle	6
28	Diazepam injection, 5 mg/ml, 2-ml ampoule	Item	20	Controlled substance
29	Diazepam tablets, 5 mg, 100s	Bottle	2	Controlled substance
30	Dimercaprol injection, 100 mg in 2-ml ampoules, 10s	Box	6	Antidote in metal poisoning
31	Doxycycline hydrochloride tablets, 100 mg, 100s	Bottle	2
32	Ephedrine sulfate tablets, 25 mg, 100s	Bottle	1
33	Epinephrine hydrochloride injection, 1:1000, 1-ml ampoules, 10s	Box	2
34	Ergometrine maleate injection, 0.2 mg in 1-ml ampoules, 10s	Box	1
35	Erythromycin (stearate or ethylsuccinate) tablets, 250 mg, 100s	Bottle	3
36	Eye anaesthetic drops, 0.5% solution of tetracaine hydrochloride, in dropper bottles, 10 ml	Bottle	2	Should be marked: For external use
37	Eye antiinfective drops, 1% solution of chloramphenicol in dropper bottles, 10 ml	Bottle	3
38	Eye ointment, 1% tetracycline hydrochloride, 4-g tube	Item	6
39	Eyewash or eye-irrigating solution, isotonic, sterile, in plastic squeeze bottle, 120 ml	Bottle	6
40	Flouorescein sodium ophthalmic strip, sterile(1%, on paper applicators), 200s	Package	1
41	Furosemide tablets, 40 mg, 100s	Bottle	1
42	Glycceryl trinitrate tablets, 0.5 mg, 20s	Bottle	2	Keep bottle tightly closed; store at temperature of 0-25¤C
43	Hydrocortisone sodium succinate, 100-mg vial, for injection, intravenous, or intramuscular	Vial	5
44	Hydrocortisone ointment 1% 30-g tube with rectal tip	Item	6
45	Ichthyol and glycerine ointment (ichthammol 10% glycerine, soft paraffin, wool fat 90%), in 100-g container	Item	3	More containers are needed on fishing vessels with a crew of over 30 people
46	Insect repellent (diethyltoluamide solution), 50-ml	Bottle	12
47	Iodine, 2.5% solution, in 100-ml bottles with glass stoppers	Bottles	4	Bottles should be marked: POISON for external use only
48	Lidocaine hydrochloride injection 1%, 2-ml ampoule	Item	12
49	Lindane cream, 1%, 60-g tube	Item	12	For external use
50	Magnesium hydroxide suspension, 550 mg/10 ml, 500 ml	Bottle	8
51	Metronidazole tablets, 200 mg, 100s	Bottle	5
52	Miconazole nitrate, 2% vaginal cream, with applicator, in 80-g container	Item	5
53	Miconazole nitrate, 100-mg, pessary and inserter	Item	20
54	Mineral oil (liquid petrolatum), 500ml	Bottle	1
55	Morphine sulfate injection, 10 mg/ml, 1-ml ampoules, 10s	Box	2	Controlled substance
56	Naloxone hydrochloride injection, 0.4 mg/ml, 1-ml ampoule	Item	6
57	Neomycin+bacitracin ointment (5mg neomycin+500 IU bacitracin zinc per g), 30-G tube	Item	20	Keep at temperature of 2-20¤C
58	Oral rehydration salts (sodium chloride 3.5 g, sodium bicarbonate 2.5 g (or trisodium citrate 2.9 g), potassium chloride 1.5 g, glucose 20 g) in waterproof bags/sachets	Item	50	One bag/sachet should be dissolved in 1 litre of boiled cooled water
59	Oxygen, size E tank	Item	2	The tank should always be full of oxygen
60	Paracetamol, 500-mg tablet	Item	300
61	Petrolatum, white, 60-g tube	Item	6
62	Phenobarbital tablets, 30 mg, 100s	Bottle	3	Controlled substance
63	Phenoxymethylpenicillin potassium tablets 250 mg, 100s	Bottle	3
64	Pilocarpine hydrochloride eye-drops, 2%, 15-ml dropper bottle	Bottle	2
65	Potassium permanganate, 100 g	Bottle	2	For external use
66	Probenecid tablets, 500 mg, 100s	Bottle	2
67	Procaine benzylpenicillin, sterile suspension, injection, 600000 units/ml, 1-ml vials, 10s	Box	2	Refrigerate
68	Proguanil tablets, 100 mg, 100s	Bottle	1
69	Pyrantel tablets, 250 mg, 50s	Bottle	1
70	Quinine sulfate tablets, 300 mg, 100s	Bottle	2
71	Quinine dihydrochloride, injection, 300 mg/ml, 2-ml	Box	2
72	Salbutamol aerosol inhaler unit	Item	2
73	Sodium chloride injection, 0.9%, 1000 ml	Bottle	6	Administration sets should be obtained from the manufacturer of the intravenous sol
74	Sodium chloride tablets, 1 g, 1000s	Bottle	2
75	Spectinomycin hydrochloride, injection, 2 g per 5-ml vial	Item	20
76	Sulfamethoxazole+trimethoprim (400 mg+80 mg) tablets, 20s	Bottle	10
77	Talc (talcum powder), 120 g	Can	6
78	Tetanus immune human globulin, 250 units, vial or ampoule	Item	5	Refrigerate, do not freeze. Note: this drug should be carried only on ships that carry cattle, horses, or hides
79	Tetanus toxoid adsorbed, single dose, ampoule	Item	10	Refrigerate, do not freeze
80	Tetracycline ear-drops, 1% tetracycline solution in dropper bottle, 10 ml	Bottle	10
81	Tetracycline hydrochloride capsules, 250 mg, 100s	Bottle	3
82	Water, sterile, 5-ml ampoules, 10s	Box	3
83	Zinc oxide paste, 30-g tube	Item	12

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