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Emergency Medical Items Catalogue 2002

Injectable drugs
Code
DINJACSA5V

Description
ACETYLSALICYLAT LYSINE, 0.9 g (aspirin 0.5 g), powder vial

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Injectable analgesic, antipyretic, anti inflammatory. Not in the WHO Essential Medicines list 2002. Action is rapid, intense and prolonged (6 hours). Used particularly in French-speaking countries. 0.9g of acetylsalicylic lysine corresponds to 500mg of acetylsalicylic acid. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJAMIN2A

Description
AMINOPHYLLINE, 25 mg/ml, 10 ml, amp.

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Injectable bronchodilator. In the WHO Essential Medicines list 2002. Storage: Keep cool (between 8C and 15C). Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJAMPI1V DINJAMPI5V

Description
AMPICILLIN, 1 g, im/iv, powder vial AMPICILLIN, 500mg, im/iv, powder vial

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Injectable antibacterial (antibiotic) in the penicillins group, broad spectrum. In the WHO Essential Medicines list 2002. The injectable powder is the same, whatever the method of injection indicated on the vial. Some dilutants accompanying the vials contain Lidocaine for IM injections. Once the solution has been reconstituted with such a dilutant, it cannot be used for IV. If the vials of powder are reconstituted with sterile water, they may be administered either IM or IV. Dosage of ampicillin and amoxycilline by parenteral route is the same, unlike the oral doses. Injectable ampicillin is preferred because of its greater stability and lower cost. The 1g strength is preferable, since this makes the treatment less expensive. Storage: Keep cool (between 8C and 15C).. Once the powder has dissolved, the solution should be clear and must be used the same day. Diluted in a infusion of glucose, ampicillin remains stable for 6 hours ; 12 hours in sodium chloride. It is best to inject it directly into the drip tubing. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJATRO1A DINJATRO5A

Description
ATROPINE SULFATE, 1 mg/ml, 1 ml, amp. ATROPINE SULFATE, 0.5 mg/ml, 1 ml, amp.

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Injectable antispasmodic, parasympatholytic. In the WHO Essential Medicines list 2002 (1mg). Storage: No special precautions as regards temperature. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJBUPI5V2

Description
BUPIVACAINE 0.5%, 5 mg/ml, 20 ml, vial

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Injectable long action local anaesthetic In the WHO Essential Medicines list 2002. Should be strictly limited to surgical missions with an anaesthetist and ophthalmological missions. Used for local/regional, plexus and epidural anaesthesia and ophthalmology. Has a longer action than lidocaine (1-3 hours). Recommended concentration: 0.5% (normobaric). Can easily be diluted to obtain a 0.25% concentration. NF (Do not freeze). See introductory remarks concerning the heat sensitive items. Storage: Temperature below 30C. Particularly sensitive to light. Do not reuse an opened vial. (In Guide Essential Drugs, MSF). Code
DINJBUPI5AH

Description
BUPIVACAINE, heavy, 0.5% (5 mg/ml), 4 ml, amp. for spinal anaesthesia

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Injectable local anaesthetic for epidural / spinal anaesthesia In the WHO Essential Medicines list 2002. 0.5% Bupivicaine in hyperbaric glucose solution. Strictly reserved for epidural and spinal anaesthesia (longer acting time than lidocaine). Storage: Temperature below 30C. Particularly sensitive to light.

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Emergency Medical Items Catalogue 2002

Code
DINJBUTY2A

Description
BUTYLHYOSCINE (butylscopolamine), 20 mg/ml, 1 ml, amp.

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Injectable parasympatholytic, antispasmodic. Not in the WHO Essential Medicines list 2002. Also called: Butylscopolamine or Hyoscine Butylbromide. Storage: No special precautions as regards temperature. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJCALG1A

Description
CALCIUM GLUCONATE, 100 mg/ml, 10 ml, amp.

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Injectable calcium for emergencies In the WHO Essential Medicines list 2002. Calcium supply for an emergency calcitherapy. Indications are extremely limited in the field without blood biochemistry data. 1g (2.23mmol) calcium gluconate (100mg/ml, 10 ml) corresponds to 89.41mg calcium. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJCEFT2V

Description
CEFTRIAXONE, 250mg, powder, vial

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Injectable antibiotic In the WHO Essential Medicines list 2002. Cephalosporine of third generation, used in meningitis and severe infections resistant to first-line antibacterials. Very expensive. Some solvents for IM injections contain lidocane: the prepared solution with these solvents may not be used for IV injections and can be contra-indicated for young children. See national protocols and national lists of essential drugs. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJCHLM5A

Description
CHLORPROMAZINE, 25 mg/ml, 2 ml, amp.

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Injectable sedative and anti-emetic neuroleptic. In the WHO Essential Medicines list 2002. C2 (Sometimes controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJCHLO1V

Description
CHLORAMPHENICOL, 1 g, powder, vial

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Injectable antibiotic In the WHO Essential Medicines list 2002. Storage: Temperature below 30C. Particularly sensitive to light. Once the powder has dissolved, the solution should be clear and must be used the same day. (In Guide Essential Drugs, MSF). Code
DINJCHLO5AO

Description
CHLORAMPHENICOL 250 mg/ml, 2 ml, amp. in oil,

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Injectable long acting antibiotic (for meningitis) In the WHO Essential Medicines list 2002. Antibacterial (antibiotic) with prolonged action (several weeks), oily solution only to be given IM. Should be used only for mass treatment meningitis epidemics. Product made by a very limited number of manufacturers. Check availability before it becomes urgent Shake the suspension before use. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJCHLQ2A

Description
CHLOROQUINE PHOSPHATE, 40 mg base/ml, 5 ml, amp.

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Injectable antimalarial In the WHO Essential Medicines list 2002. See introductory remarks on bases and salts ; there is no confusion in the case of the injectable forms, however, since the dosages are expressed in terms of base throughout the world. N.B. There is also a 50mg base/ml strength. Used mainly in English-speaking countries. Contraindicated in children under 5. Beware of abusive prescription. Change to oral therapy as soon as possible. When malaria must be treated by injection, use Quinine if available. Storage: No special precautions as regards temperature. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJCLOX2V DINJCLOX5V

Description
CLOXACILLIN, 250 mg, powder, vial CLOXACILLIN, 500 mg, powder, vial

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Injectable antibiotic In the WHO Essential Medicines list 2002. Against penicillase producing staphylococci Storage: Keep cool. Particularly sensitive to light. Once the powder has dissolved, the solution should be clear and must be used the same day. (In Guide Essential Drugs, MSF). Code
DINJDEXA4A

Description
DEXAMETHASONE 4 mg/ml, 1 ml, amp. PHOSPHATE,

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Injectable corticosteroid In the WHO Essential Medicines list 2002. Also comes in 1ml ampoule containing Dexamethasone sodium phosphate 5mg, equivalent to Dexamethasone phosphate 4.55mg. Storage: Keep cool if possible. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJDIAZ1A

Description
DIAZEPAM, 5 mg/ml, 2 ml, amp.

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Injectable anxiolytic, sedative, anticonvulsant, muscular relaxant In the WHO Essential Medicines list 2002. C1 (Always controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. For IV administration diazepam should be diluted (a) because of its toxicity to veins and (b) to adjust the dose in line with the effect desired. Storage: No special precautions as regards temperature. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJDICL7A

Description
DICLOFENAC SODIUM, 25 mg/ml, 3 ml, amp.

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Injectable non-steroid anti-inflammatory, analgesic, antipyretic Not in the WHO Essential Medicines list 2002. For infusion in glucose 5% or sodium chloride 0.9% solution, add 0.5ml of Sodium bicarbonate 8.4% per 500ml of solution. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJDIGO5A

Description
DIGOXIN, 0.25 mg/ml, 2 ml, amp.

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Injectable antiarythmicum cardiotonic In the WHO Essential Medicines list 2002. Storage: No special precautions as regards temperature. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJEPHE3A

Description
EPHEDRINE, 30 mg/ml, 1 ml, amp.

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Injectable sympathomimetic In the WHO Essential Medicines list 2002. C2 (Sometimes controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Used to treat hypotension induced by regional (spinal & epidural) anaesthesia. Should be limited to surgical missions with an anaesthetist. Supplied as 1ml ampoule containing 30mg. To be diluted in 10ml glucose 5% or sodium chloride 0.9% to obtain a solution containing 3mg ephedrine per ml. Warning: confusion between Ephedrine and Epinephrine is frequent due to similar spelling. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJEPIN1A

Description
EPINEPHRINE (adrenaline), 1 mg/ml, 1 ml, amp.

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Injectable sympathomimetic In the WHO Essential Medicines list 2002. Sensitive to light and heat; dispose of ampoules whose contents have turned pink or brown. Warning: confusion between Ephedrine and Epinephrine is frequent due to similar spelling. Storage: Keep cool (between 8C and 15C). Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJERGM2A DINJERGM5A

Description
METHYLERGOMETRINE, 0.2 mg/ml, 1 ml, amp. ERGOMETRINE, 0.5 mg/ml, 1 ml, amp.

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Injectable uterine contraction drug In the WHO Essential Medicines list 2002. C2 (Sometimes controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Some makes are very sensitive and deteriorate rapidly. There is no significant difference in activity or stability between ergometrine and methylergometrine. Only one of the two dosages is sufficient. Choose Methylergometrine 0.2mg/ml, by slow IV injection. Avoid any exposure whatsoever to light. * (Slightly sensitive items). See introductory remarks concerning the heat sensitive items. Storage: Keep refrigerated between + 2 to + 8C. Do not freeze. If the drug is kept unrefrigerated, use it during one year of its arrival. Particularly sensitive to light. The glass of the ampoules should be coloured brown. If the colour of the solution, which normally ranges from white to pink, becomes yellow/green, the drug has deteriorated and lost its effectiveness. (In Guide Essential Drugs, MSF). Code
DINJFENT1A

Description
FENTANYL, 0.05mg/ml, 2 ml, amp.

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Injectable analgesic for surgical and diagnostic interventions Not in the WHO Essential Medicines list 2002. C1 (Always controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Centrally acting opioid analgesic Central analgesic: a very powerful narcotic which does not figure on the WHO list of essential drugs. Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key). Should be limited strictly to surgical missions with an anaesthetist. Storage: Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJFURO2A

Description
FUROSEMIDE, 10 mg/ml, 2 ml, amp.

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Injectable diuretic In the WHO Essential Medicines list 2002. Synonym: Frusemide. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJGENT8A

Description
GENTAMYCINE, 40 mg/ml, 2 ml, amp.

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Injectable antibiotic (aminoglycosides). In the WHO Essential Medicines list 2002. Supplied only in 80mg ampoules (40mg/ml, 2ml) for logistical reasons. Paediatric indications are rare and should be kept that way. A dilute solution can be kept for 24 hours in the refrigerator. Provided it is used for the same patient. Storage: Temperature below 30C. Particularly sensitive to light. When using plastic syringes, inject immediately after preparation. The solution should be clear. (In Guide Essential Drugs, MSF). Code
DINJGLUC5A2

Description
GLUCOSE HYPER, 50%, 20 ml, amp.

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Intravenous glucose for energy supplementation In the WHO Essential Medicines list 2002. Hypertonic solution. Do not confuse with Glucose 5% isotonic solution. Storage: Temperature below 30C. (In Guide Essential Drugs, MSF). Code
DINJHYDA2A

Description
HYDRALAZINE, 20 mg, powder, amp.

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Intravenous antihypertensive acting on the vasodilatory system In the WHO Essential Medicines list 2002. Strictly for hospital use only. For infusion, use Sodium chloride 0.9% or Ringer lactate solution, other infusion fluids inactivate Hydralazine. Do not use other forms of hydralazine, particularly solutions. The lyophilised form is more stable than the solution. Hydralazine (e.g. Apresoline) and dihydralazine (e.g. Nepressol) are used for the same indications and at the same dosage. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJHYDR1V

Description
HYDROCORTISONE, 100 mg, powder, vial

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Intravenous corticosteroid In the WHO Essential Medicines list 2002. Hydrocortisone salt as phosphate, succinate or hemisuccinate to be dissolved in water for injection. Remark: Hydrocortisone acetate is a suspension insoluble in water, used as a local treatment only. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJINSH10VI

Description
INSULIN, INTERMEDIATE ACTION, 100 IU/ml, human, 10 ml, vial

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Subcutaneus antidiabetic insulin Pancreatic hormone, antidiabetic. The type of insulin (short-acting, intermediate acting, long acting) used depends on the type of diabetes, patients age and blood glucose level. Human insulins are preferred for cultural and medical reasons. Should be supplied together with calibrated syringe for 100 IU insulin. Appearance: opalescent suspension. Warning: Some countries may still be used to the former presentation: 40 IU/ml, although this presentation is not recommended anymore. Storage: To be kept refrigerated between + 2 to + 8C. Do not freeze. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJINSH10VR

Description
INSULIN, RAPID, 100 IU/ml, human, 10 ml, vial

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Intravenous / Subcutaneus antidiabetic insulin The type of insulin (short-acting, intermediate acting, long acting) used depends on the type of diabetes, patients age and blood glucose level. Preparations of human or animal origin have generally the same hypoglycaemic effect. Human insulins are more expensive than porcine origin insulins, but they are sometimes preferred for cultural or medical reasons. Should be supplied together with calibrated syringe for 100 IU insulin. Appearance: clear suspension. Warning: Some countries may still be used to the former presentation: 40 IU/ml, although this presentation is not recommended anymore. Storage: To be kept refrigerated between + 2 to + 8C. Do not freeze. Particularly sensitive to light. (In Guide Essential Drugs, MSF).
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Emergency Medical Items Catalogue 2002

Code
DINJKETA5V

Description
KETAMINE, 50 mg/ml, 10 ml, vial

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Intramuscular, intravenous, general anaesthetic In the WHO Essential Medicines list 2002. C2 (Sometimes controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Basic anaesthetic in developing countries. General anaesthetic, involving risk of arterial hypertension, hallucinations and salivary hypersecretion. Preferably used with atropine sulphate and diazepam (In Guide Anesthsie Ranimation Transfusion en situation disolement, MSF). Ketamine has no myorelaxant properties. Keep away from light. Some ketamines do not withstand heat very well, and lose their therapeutic value (but without any decrease in their side-effects!). Distribution should be controlled as under hospital conditions (using a narcotics register or recording amounts in and out and keeping it under lock and key). Should be limited strictly to surgical missions with an anaesthetist. Storage: No special precautions as regards temperature. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJLIDO1V2

Description
LIDOCAINE, 1%, 20 ml, vial

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Injectable local anaesthetic In the WHO Essential Medicines list 2002. Synonym: Xylocaine. Do not buy the 50ml vials (repeated perforation can cause contamination and poor conservation). The 1% strength has been chosen because it passes into the tissues more readily. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJLIDO2CE1

Description
LIDOCAINE 2%, + EPINEPHRINE 1/80000, 1.8 ml, cart.

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Injectable local (dental) anaesthetic In the WHO Essential Medicines list 2002. Syringe cartridge for use in dental anaesthesia. Storage: Keep in a cool place (8 to 15C). Protect from light.

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Emergency Medical Items Catalogue 2002

Code
DINJLIDO2VE2

Description
LIDOCAINE 2%, + EPINEPHRINE 1/80000, 20 ml, vial

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Injectable local anaesthetic In the WHO Essential Medicines list 2002. Synonym: Xylocaine with Epinephrine. Do not buy the 50ml vials (repeated perforation can cause contamination and poor conservation). Epinephrine added to Lidocaine prolongs anaesthesia. Never use solutions for the anaesthesia of fingers or extremities: risk of ischemia and necrosis. Storage: Keep in a cool place (8 to 15C). Protect from light. Code
DINJLIDO5VH

Description
LIDOCAINE, heavy, 5%, 2 ml amp. for spinal anaesthesia

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Injectable local/regional anaesthetic In the WHO Essential Medicines list 2002. Presentation: 100mg in 2ml ampoules (50mg/ml): 5% lidocaine in hyperbaric glucose solution, for injection into the cerebrospinal fluid. Should be limited strictly to spinal anaesthesia. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs and Anesthsie Ranimation Transfusion en situation disolement, MSF). Code
DINJMAGS5V

Description
MAGNESIUM SULFATE, 0.5 g/ml, 10 ml, vial

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Injectable anticonvulsant (only by parenteral route) especially in eclampsia In the WHO Essential Medicines list 2002. 10ml ampoule (0.5g/ml) contains 5g Magnesium sulphate. 1g Magnesium sulphate contains 4mmol = 8.1 mEq magnesium. To avoid fatal overdosage give Calcium gluconate by IV injection. Storage: Temperature below 30C. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJMEDR1V

Description
MEDROXYPROGESTERONE ACETATE, 150mg, vial

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Injectable hormone contraceptive long-acting In the WHO Essential Medicines list 2002. Added when setting up birth control programmes. Follow and check with the national protocols. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJMETO1A

Description
METOCLOPRAMIDE, 5 mg/ml, 2 ml, amp.

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Injectable antiemetic In the WHO Essential Medicines list 2002. Do not forget that it is essential to treat the cause of the vomiting and that this drug is not without its side-effects. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJMORP1A

Description
MORPHINE, 10 mg/ml, 1 ml, amp.

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Injectable strong pain killer, narcotic In the WHO Essential Medicines list 2002. C1 (Always controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Central analgesic: a very powerful narcotic. Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key). Should be limited strictly to surgical missions with an anaesthetist. Storage: Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJNALO4A

Description
NALOXONE, 0.4 mg/ml, 1 ml, amp.

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Injectable specific opioid antagonist In the WHO Essential Medicines list 2002. C2 (Sometimes controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Should be limited strictly to surgical missions with an anaesthetist. Storage: Particularly sensitive to light. (In Guide Essential Drugs, MSF).
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Emergency Medical Items Catalogue 2002

Code
DINJNEOS5A

Description
NEOSTIGMINE METHYLSULFATE, 0.5 mg/ml, 1 ml, amp.

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Injectable cholinesterase inhibitor, antidote of non-depolarising muscle relaxants In the WHO Essential Medicines list 2002. Used in anaesthetic procedure Cholinesterase inhibitor, antidote of non-depolarising muscle relaxants Should be limited strictly to surgical missions with an anaesthetist. Should always be used in conjunction with atropine sulphate which enables to avoid or to reduce the cholinergic effects of neostigmine. Storage: Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJOXYT1A

Description
OXYTOCIN, 10 IU/ml, 1 ml, amp.

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Injectable uterine contraction stimulator In the WHO Essential Medicines list 2002. Should be prescribed only by obstetricians, midwives and doctors with experience of it in a hospital situation. Storage: Keep refrigerated between + 2 to + 8C. Do not freeze. If the drug is kept unrefrigerated, use it during one year of its arrival. (In Guide Essential Drugs, MSF). Code
DINJPENA3A

Description
PENTAZOCINE, 30 mg/ml, 1 ml, amp.

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Injectable analgesic Not in the WHO Essential Medicines list 2002. C1 (Always controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Centrally acting opioid analgesic. Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key). Storage: Keep cool. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJPENIB2V

Description
PENICILLIN BENZATHINE, 2.4 MIU, powder, vial

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Injectable antibiotic, long acting In the WHO Essential Medicines list 2002. Long-acting antibacterial (antibiotic): 15 to 20 days. Not to be used for urgent cases (too low blood concentrations). For IM injection only. Storage: Temperature below 30C. Particularly sensitive to light. After preparation the suspension should be used the same day and kept in the refrigerator (between 2C and 8C). (In Guide Essential Drugs, MSF). Code
DINJPENIF4V

Description
PENICILLIN BENZYL 1 MIU + PROCAINE 3 MIU, (PPF), powd., vial

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Injectable antibiotic, long acting Not in the WHO Essential Medicines list 2002. Double-action antibacterial (antibiotic), with long action (24 hours) of procaine penicillin and immediate action of benzylpenicillin. Benzylpenicillin + procaine penicillin (= procaine penicillin fortified). For IM injection only. Storage: Temperature below 30C. Particularly sensitive to light. After preparation the suspension should be used the same day. (In Guide Essential Drugs, MSF). Code
DINJPENIG1V DINJPENIG5V

Description
PENICILLIN BENZYL (peni G cristal peni), 1 MIU, powd., vial PENICILLIN BENZYL (peni G cristal peni), 5 MIU, powd., vial

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Injectable antibiotic, long acting, rapid-acting antibacterial (antibiotic), eliminated rapidly (6 hours). In the WHO Essential Medicines list 2002. For IM or IV injection/infusion. Choose the strength in line with the national lists. 600mg of penicillin benzyl (peni G) = 1 million international units (M IU). Storage: Temperature below 30C. Particularly sensitive to light. After preparation the suspension should be used the same day. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJPETH1A

Description
PETHIDINE, 50 mg/ml, 2 ml, amp.

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Injectable strong analgesic In the WHO Essential Medicines list 2002. C1 (Always controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Centrally acting opioid analgesic. Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key). Storage: Keep cool. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJPOTC2A1

Description
POTASSIUM CHLORIDE, 100 mg/ml, 10 ml, amp.

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Injectable substitution of potassium In the WHO Essential Medicines list 2002. Prevention and treatment of severe hypokaliemia. Potassium chloride 100mg/ml = solution 10% contains 13.4mmol KCl per 10 ml ampoule. Must be used in hospital care only. Storage: No special precautions. (In Guide Essential Drugs, MSF). Code
DINJPROM5A

Description
PROMETHAZINE HYDROCHLORIDE, 25 mg/ml, 2 ml, amp.

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Injectable antiemetic, antihistamine, sedative In the WHO Essential Medicines list 2002. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJQUIN6A

Description
QUININE DI-HYDROCHLORIDE, 300 mg/ml, 2 ml, amp.

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Injectable antimalarial, second line In the WHO Essential Medicines list 2002. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

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Emergency Medical Items Catalogue 2002

Code
DINJSALB5A

Description
SALBUTAMOL, 0.5 mg/ml, 1 ml, amp.

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Injectable bronchodilator, uterorelaxant In the WHO Essential Medicines list 2002. Storage: Temperature below 30C. Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJSODB8A1

Description
SODIUM BICARBONATE, 1 Meq/ml, 10 ml, amp. 8.4%,

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Injectable sodium bicarbonate for acidosis correction Indicated in the rare cases of metabolic acidosis. Can carry risk of metabolic disorders. Sodium Bicarbonate solution 8.4% contains 10mmol NaHCO3 per 10 ml ampoule. Storage: Temperature below 30C. (In Guide Essential Drugs, MSF). Code
DINJSPEC2V

Description
SPECTINOMYCIN, 2g, powder, vial

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Injectable antibiotic (exp. N. gonorrhoea) In the WHO Essential Medicines list 2002. Antibacterial of the aminoside group, active against Neisseria gonorrhoea. Storage: Temperature below 30C. (In Guide Essential Drugs, MSF). Code
DINJSTRP1V

Description
STREPTOMYCIN powder, vial SULFATE, 1 g,

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Injectable antibiotic In the WHO Essential Medicines list 2002. Antitubercular antibacterial (antibiotic). Should as a rule be used only in tuberculosis programs and combination with other antituberculous drugs. Always follow WHO treatment protocols after acceptance by your medical department. Follow the recommendations of the local tuberculosis programme, if there is one, otherwise the WHO recommendations. Storage: Keep cool. Particularly sensitive to light. After preparation the solution should be clear and keeps for a maximum of 1 hour. (In Guide Essential Drugs, MSF).

Drugs

55

Emergency Medical Items Catalogue 2002

Code
DINJSUXC5V

Description
SUXAMETHONIUM 500 mg, powder vial CHLORIDE,

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Injectable muscle relaxant used during general anaesthesia In the WHO Essential Medicines list 2002. = succinyl choline. Depolarising muscle relaxant of immediate action (30 to 60 seconds) and of short duration (2 to 6 minutes). Should be limited strictly to surgical missions with an anaesthetist. Powder for reconstitution to be dissolved in Sodium chloride 0.9% or Glucose 5%. Try to buy the dry powder which is easier to preserve. Solution is more easily available but needs to be refrigerated. Storage: Particularly sensitive to light. Do not use after expiry date. (In Guide Essential Drugs, MSF). Code
DINJTHIO5V

Description
THIOPENTAL powder, vial SODIUM, 500 mg,

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Injectable anaesthetic (strictly intravenous) In the WHO Essential Medicines list 2002. C2 (Sometimes controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Anaesthetic for induction of general anaesthesia, control of convulsion. Should be limited strictly to surgical missions with an anaesthetist. Storage: Keep cool. Particularly sensitive to light. After preparation the diluted solution can be kept for 24 hours in a cool place. After preparation the solution should be clear and without crystals. (In Guide Essential Drugs, MSF). Code
DINJTRAM1A

Description
TRAMADOL HYDROCHLORIDE, 50 mg/ml, 2 ml, amp.

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Injectable analgesic Not in the WHO Essential Medicines list 2002. C2 (Sometimes controlled). See introductory remarks Narcotic and psychotropic drugs Medications subject to particular international and national controls. Centrally acting opioid analgesic. Distribution should be controlled as under hospital conditions (using a narcotics register or recording amounts in and out and keeping it under lock and key). Storage: Keep cool. Particularly sensitive to light. (In Guide Essential Drugs, MSF).

56

Drugs

Emergency Medical Items Catalogue 2002

Code
DINJVECB10V

Description
VECURONIUM BROMIDE, 10 mg, powder vial

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Injectable muscle relaxant used during anaesthesia In the WHO Essential Medicines list 2002. Non depolarising muscle relaxant of short to medium duration. Should be limited strictly to surgical missions with a specialist anaesthetist. Storage: Keep cool (25C), 4C once solution is made up, away from light (max. 12 hours). Particularly sensitive to light. (In Guide Essential Drugs, MSF). Code
DINJWATE1A

Description
WATER for injection, 10 ml, plastic amp.

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Injectable water for mixing with powder Plastic ampoules are stronger and lighter than glass but more expensive. The quantity ordered should be greater than the number of powder vials ordered (streptomycin, PPF, benzathine penicillin, chloramphenicol, acetylsalicylic acid, etc.). Storage: Temperature below 30C.

Drugs

57

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