Тренажер по русскому языку. Если вашему ребенку трудно даются занятия по русскому языку, то представленный на диске интерактивный курс обучения поможет быстро усвоить весь необходимый материал. Визуализация заданий, оригинальная система поощрения. Программа способна генерировать примеры, уравнения, задачи по математике и упражнения по русскому языку для учащихся 1-4 классов, после решения которых ученик получает. Бесплатные тесты для учителей начальных классов в интерактивном мультимедийном. Тренажёр по математике "Собираем урожай". Тренажёр по русскому языку для учащихся начальных классов. Презентация Microsoft Power Point 677.5 KB. Скачать · Скачать. Быстро проверить усвоение.Тема: «Комплекс тренажеров по русскому языку», 2 класс. Тема: «Портреты русских поэтов и писателей», 1-4 классы. Тренажёр по русскому языку для 1-4 классов. В игровой форме, вместе с героями мультфильма 'Ну, погоди!', дети повторяют правописание слов с непроверяемой гласной. Если вашему ребенку трудно даются занятия по русскому языку, то представленный на диске интерактивный курс обучения поможет быстро усвоить. Дидактическая тетрадь по русскому языку. Тренажёр по русскому языку по теме 'Предложение'.
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Graduate Psychology Programs & Schools. Perhaps you have studied psychology at the undergraduate level and you are well aware of the many fields and career paths in which this subject is useful. Even if you have only taken an introductory college- level psychology course, you may be ready to tackle the challenges of a Master's degree in psychology. You can take a Master's degree in psychology and use it in many industries or work settings. However, one of the largest specialties in psychology is mental health. The Ohio government has made the understanding of mental illness and appropriate responses to mental illness two of its major priorities in coming years (Cleveland. Psychology professionals are being hired to teach police officers about mental illness and how to de- escalate conflict with those in mental health crisis. Of course, you can also use this type of education to work with children, students, families, business owners, and other populations. Take the first step and look at our list of psychology at Master's degree programs in Ohio. What Can You Expect from Psychology Master's Programs in Ohio? Before you start looking into requirements for Master's degree programs in Ohio, it's important to recognize that there are many degree programs that fall under this umbrella. Some students choose to complete a graduate degree in general psychology, which may afford you more flexibility. However, others choose specialty psychology programs that focus on working with specific populations, disorders, or theories. On average, a Master's degree in psychology includes 3. By exploring the curricula, learning outcomes, and admissions requirements of different programs, you can find a school that is in line with your career goals and your ideology. If you choose to study psychology on a broad scale, your curriculum may include courses like Psychodiagnosis, Physical Bases of Behavior, Cognitive Bases of Behavior, and Adolescent Psychology. The type of practical experience you get will depend on the school's focus, the faculty members you work with, and which degree you choose. However, options may include a thesis, a capstone project, or a research study.
Why consider community psychology graduate programs? Community Psychology graduate programs. You could search online community counseling programs if you need. Ohio Community Psychology Graduate Programs. Masters in Psychology Programs in Ohio (found programs from 30 schools). Some students choose to complete a graduate degree in general psychology. Master of Arts in Community Counseling. There are many types of financial aid to consider at the graduate level. Graduate assistantships and teaching assistantships are fairly common in this field of study. You can also look into offerings from local groups like the Ohio School Counselor Association. Working With Your Master's Degree in Psychology in Ohio. Master's in psychology programs in Ohio are fairly rigorous and involve quite a bit of community work and networking, so you should have a solid understanding of your career options, potential work settings, and in- demand professions by the time you graduate. If you study counseling psychology, you may put your degree to work at a mental health center, a psychiatric hospital, community health centers, and other employers that offer social services. Getting Licensed After You Graduate; Student FAQs; For Programs. Because CACREP programs are converting from Community Counseling and Mental Health Counseling to Clinical Mental Health Counseling. In Ohio, the demand for counseling psychologists is expected to increase 5% through 2. O*Net, 2. 01. 5). Their data indicates an average salary of $7. O*Net, 2. 01. 5). Health care social work is a fairly fast- paced specialty in this field. Job openings for health care social workers may swell 2. O*Net, 2. 01. 5). With a graduate degree in psychology, you have the power to make a difference in Ohio. Start preparing for your new career now by contacting Master's in psychology programs in Ohio. Start your search for the right graduate program with the following options: Malone University in Canton is a small, Christian school offering a Master of Arts in counseling and human development. Depending upon the chosen concentration, this program can prepare a student for a career as a clinical or school- based counselor. The University of Akron offers a Master of Arts in psychology with either a thesis option geared to students who intend to enter Ph. D. The program consists of two years of full- time study followed by a 1. The university also offers a Master of Arts in mental health counseling. In the controlled trials, three percent of patients in both the FLECTOR? Patch and placebo patch groups discontinued treatment due to an adverse event. Life: Anti-inflammatory drug patch now available in U.S. Find information on FLECTOR. See risks & benefits of FLECTOR Patch. Flector Dosage and Administration. FDA prescribing information, side effects and uses. Flector. If problems with adhesion persist, patients may overlay the patch with a mesh netting sleeve, where appropriate (e. The mesh netting sleeve (e. Severe, sometimes fatal, anaphylactic reactions to NSAIDs have been reported in such patients . Based on available data, it is unclear that the risk for CV thrombotic events is similar for all NSAIDs. The relative increase in serious CV thrombotic events over baseline conferred by NSAID use appears to be similar in those with and without known CV disease or risk factors for CV disease. However, patients with known CV disease or risk factors had a higher absolute incidence of excess serious CV thrombotic events, due to their increased baseline rate. Some observational studies found that this increased risk of serious CV thrombotic events began as early as the first weeks of treatment. The increase in CV thrombotic risk has been observed most consistently at higher doses. Do not apply Flector Patch to non-intact or damaged skin resulting from any etiology e.g. Soma and benzos Can valtrex prevent the common cold Chemical nature of. See risks and benefits of FLECTOR Patch. The First and Only Anti-Inflammatory Pain Relief Patch in the U.S. National Survey Confirms Preference for Targeted Pain Medication. Flector Tissugel is the sole locally active antiinflammatory patch. Flector Tissugel adhesive patch. Have you ever heard of the Flector Patch? Or tried topical anti-inflammatories? The Flector patch, now available by prescription in drugstores across the United States, measures about 4 inches by 5 1/2 inches and is meant for short-term use. To minimize the potential risk for an adverse CV event in NSAID- treated patients, use the lowest effective dose for the shortest duration possible. Physicians and patients should remain alert for the development of such events, throughout the entire treatment course, even in the absence of previous CV symptoms. Patients should be informed about the symptoms of serious CV events and the steps to take if they occur. There is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious CV thrombotic events associated with NSAID use. The concurrent use of aspirin and an NSAID, such as diclofenac, increases the risk of serious gastrointestinal (GI) events . NSAIDs are contraindicated in the setting of CABG . In this same cohort, the incidence of death in the first year post- MI was 2. NSAID- treated patients compared to 1. NSAID exposed patients. Although the absolute rate of death declined somewhat after the first year post- MI, the increased relative risk of death in NSAID users persisted over at least the next four years of follow- up. Avoid the use of Flector PATCH in patients with a recent MI unless the benefits are expected to outweigh the risk of recurrent CV thrombotic events. If Flector PATCH is used in patients with a recent MI, monitor patients for signs of cardiac ischemia. Gastrointestinal Bleeding, Ulceration, and Perforation. NSAIDs, including diclofenac, cause serious gastrointestinal (GI) adverse events including inflammation, bleeding, ulceration, and perforation of the esophagus, stomach, small intestine, or large intestine, which can be fatal. These serious adverse events can occur at any time, with or without warning symptoms, in patients treated with NSAIDs. Only one in five patients who develop a serious upper GI adverse event on NSAID therapy is symptomatic. Upper GI ulcers, gross bleeding, or perforation caused by NSAIDs occurred in approximately 1% of patients treated for 3- 6 months, and in about 2%- 4% of patients treated for one year. However, even short- term NSAID therapy is not without risk. Risk Factors for GI Bleeding, Ulceration, and Perforation. Patients with a prior history of peptic ulcer disease and/or GI bleeding who used NSAIDs had a greater than 1. GI bleed compared to patients without these risk factors. Other factors that increase the risk of GI bleeding in patients treated with NSAIDs include longer duration of NSAID therapy; concomitant use of oral corticosteroids, aspirin, anticoagulants, or selective serotonin reuptake inhibitors (SSRIs); smoking; use of alcohol; older age; and poor general health status. Most postmarketing reports of fatal GI events occurred in elderly or debilitated patients. Additionally, patients with advanced liver disease and/or coagulopathy are at increased risk for GI bleeding. Strategies to Minimize the GI Risks in NSAID- treated patients: Use the lowest effective dosage for the shortest possible duration. Avoid administration of more than one NSAID at a time. Avoid use in patients at higher risk unless benefits are expected to outweigh the increased risk of bleeding. For such patients, as well as those with active GI bleeding, consider alternate therapies other than NSAIDs. Remain alert for signs and symptoms of GI ulceration and bleeding during NSAID therapy. If a serious GI adverse event is suspected, promptly initiate evaluation and treatment, and discontinue Flector PATCH until a serious GI adverse event is ruled out. In the setting of concomitant use of low- dose aspirin for cardiac prophylaxis, monitor patients more closely for evidence of GI bleeding . Meaningful elevations of ALT and/or AST occurred in about 4% of the 3,7. ULN) in about 1% of the 3,7. In that open- label study, a higher incidence of borderline (less than 3 times the ULN), moderate (3- 8 times the ULN), and marked (greater than 8 times the ULN) elevations of ALT or AST was observed in patients receiving diclofenac when compared to other NSAIDs. Elevations in transaminases were seen more frequently in patients with osteoarthritis than in those with rheumatoid arthritis. Almost all meaningful elevations in transaminases were detected before patients became symptomatic. Abnormal tests occurred during the first 2 months of therapy with diclofenac in 4. In postmarketing reports, cases of drug- induced hepatotoxicity have been reported in the first month, and in some cases, the first 2 months of therapy, but can occur at any time during treatment with diclofenac. Postmarketing surveillance has reported cases of severe hepatic reactions, including liver necrosis, jaundice, fulminant hepatitis with and without jaundice, and liver failure. Some of these reported cases resulted in fatalities or liver transplantation. In a European retrospective population- based, case- controlled study, 1. In this particular study, based on an overall number of 1. Physicians should measure transaminases at baseline and periodically in patients receiving long- term therapy with diclofenac, because severe hepatotoxicity may develop without a prodrome of distinguishing symptoms. The optimum times for making the first and subsequent transaminase measurements are not known. Based on clinical trial data and postmarketing experiences, transaminases should be monitored within 4 to 8 weeks after initiating treatment with diclofenac. However, severe hepatic reactions can occur at any time during treatment with diclofenac. If abnormal liver tests persist or worsen, if clinical signs and/or symptoms consistent with liver disease develop, or if systemic manifestations occur (e. Flector PATCH should be discontinued immediately. Inform patients of the warning signs and symptoms of hepatotoxicity (e. If clinical signs and symptoms consistent with liver disease develop, or if systemic manifestations occur (e. Flector PATCH immediately, and perform a clinical evaluation of the patient. To minimize the potential risk for an adverse liver related event in patients treated with Flector PATCH, use the lowest effective dose for the shortest duration possible. Exercise caution when prescribing Flector PATCH with concomitant drugs that are known to be potentially hepatotoxic (e. Hypertension. NSAIDs, including Flector PATCH, can lead to new onset of hypertension or worsening of preexisting hypertension, either of which may contribute to the increased incidence of CV events. Patients taking angiotensin converting enzyme (ACE) inhibitors, thiazide diuretics, or loop diuretics may have impaired response to these therapies when taking NSAIDs . In a Danish National Registry study of patients with heart failure, NSAID use increased the risk of MI, hospitalization for heart failure, and death. Additionally, fluid retention and edema have been observed in some patients treated with NSAIDs. Use of diclofenac may blunt the CV effects of several therapeutic agents used to treat these medical conditions (e. ACE inhibitors, or angiotensin receptor blockers . If Flector PATCH is used in patients with severe heart failure, monitor patients for signs of worsening heart failure. Renal Toxicity and Hyperkalemia. Renal Toxicity. Long- term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury. Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, administration of an NSAID may cause a dose- dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation. Patients at greatest risk of this reaction are those with impaired renal function, dehydration, hypovolemia, heart failure, liver dysfunction, those taking diuretics and ACE inhibitors or ARBs, and the elderly. Discontinuation of NSAID therapy is usually followed by recovery to the pretreatment state. No information is available from controlled clinical studies regarding the use of Flector PATCH in patients with advanced renal disease. The renal effects of Flector PATCH may hasten the progression of renal dysfunction in patients with pre- existing renal disease. Correct volume status in dehydrated or hypovolemic patients prior to initiating Flector PATCH. Monitor renal function in patients with renal or hepatic impairment, heart failure, dehydration, or hypovolemia during use of Flector PATCH . Avoid the use of Flector PATCH in patients with advanced renal disease unless the benefits are expected to outweigh the risk of worsening renal function. If Flector PATCH is used in patients with advanced renal disease, monitor patients for signs of worsening renal function. Hyperkalemia. Increases in serum potassium concentration, including hyperkalemia, have been reported with use of NSAIDs, even in some patients without renal impairment. In patients with normal renal function, these effects have been attributed to a hyporeninemic- hypoaldosteronism state. Anaphylactic Reactions. Alternatives to NSAIDs, pros and consby Marianna Rakovitsky, RPh. Recently, I have talked about the concerns with the use of NSAIDs and their effects on the heart. NSAIDs are usually very effective in controlling pain especially muscle and bone pain, but they also carry a potential risk of side effects such as stomach and kidney problems, increased risk of bleeding and adverse effects on cardiovascular system. In this post I will talk about common topical treatments as one of the strategies to manage pain. According to the recommendations of American Heart Association the non- pharmacological methods should be the first line of treatment for pain. Such strategies as appropriate exercise, physical therapy, application of cold and heat may be suggested. Some of the pros and cons of using the common ingredients found in these products are described in this post. Capsaicin. Capsaicin is an ingredient that is derived from pepper and is often used as a cream or patch to relieve pain. It is thought to alleviate pain by stimulating the release of substance P. Although in the beginning this may lead to burning sensation, after continued use Capsaicin starts to relieve pain as substance P gets depleted. The most common side effect of Capsaicin is the burning sensation that should diminish with continued use. Capsaicin may be used to relieve self limiting pain due to muscle strains and sprains. Pros: Usually does not cause systemic side effects, available without prescription. Cons: Questionable effectiveness when used for osteoarthritis (lack of clinical trials comparing Capsaicin to NSAIDS). Not covered by most insurance plans. Important: Wash your hands thoroughly after applying capsaicin, avoid contact with the eyes and mucous membranes. Do not use in children, if you are pregnant or breastfeeding unless recommended by a physician. Do not use if the condition worsens, irritation develops or for more than 7 days without consulting a doctor. Stop using if you develop severe burning sensation. If swallowed, get medical help or contact a Poison Control Center immediately. Methyl salicylate. Methyl salicylate is an ingredient found in common over the counter creams that are used for pain such as Bengay and Icy. Hot. Methyl salicylate is thought to work as a rubefacient, which means that it is believed to relieve pain by producing a counterirritant effect. Pros: Available over the counter, relatively inexpensive. Cons: Lack of evidence that the products containing methyl salicylate are effective. Important : Watch out for the amount of product containing methyl salicylate that is being used. Exposure of large areas of the skin and multiple daily applications may lead to salicylate overdose that in rare cases may be fatal. Also do not use the products that contain methyl salicylate with aspirin or salsalate without consulting a doctor first as this combination may increase the risk of salicylate overdose. An application of creams that contain methyl salicylate over a large body area may be equivalent to taking 2 tablets of regular strength Aspirin. Also ask your doctor before using topical products containing methyl salicylate with NSAIDs, Coumadin (Warfarin) or other prescription drugs to avoid a potential for interaction and increased risk of bleeding. To avoid the risk of an overdose do not use these creams with a heating pad, do not tightly bandage. Keep away from children. If swallowed, get medical help or contact a Poison Control Center immediately. Do not use if the condition worsens, irritation develops or for more than 7 days without consulting a doctor. Keep away from the eyes and mucous membranes. Do not apply to wounded, damaged or irritated skin. Do not use in children under 1. Do not use these products if you are allergic to aspirin or salicylates. Topical NSAIDSBrand names: Voltaren gel, Solaraze, Pennsaid, Flector. Patch. Generic: Diclofenac. Pros: Effectivness approaches that of oral NSAIDS when used as directed. One study has found that when Voltaren gel is applied the concentration of diclofenac (an active ingredient) in blood is generally 5 to 1. Lower risk of GI side effects. Even though these drugs have been only recently approved in the US they have a long history of use in other countries. Cons: Carry the same warning and potential to increase the risk of the same side effects as oral NSAIDs including: increased risk of heart attacks and stokes, increased risk of gastrointestinal bleeding, potential to cause kidney and liver problems, increased risk of high blood pressure and heart failure as well as other reactions that may be caused by diclofenac (active ingredient) in a form of a tablet. May increase the risk of photosensitivity. Available only by prescription. Expensive, some insurances don’t cover them or require prior authorization. Use only as prescribed, do not share these medications with family and friends. Avoid in children or if you are pregnant or nursing. Do not use heating pads over the area treated with these products, do not tightly bandage. Do not use these products if you are allergic to diclofenac, aspirin, salicylates, or NSAIDs. Diclofenac has a potential to cause serious life threatening hypersensitivity reactions including Stevens- Johnson syndrome and toxic epidermal necrolysis (TEN). Stop using the product if irritation or skin reactions develop. Please report any rash, itching, hive , swelling of the face, lips, throat or tongue to your doctor or seek emergency medical help. Periodic monitoring of blood pressure, blood counts, kidney functions and liver functions by a physician may be recommended in patients that are on long term therapy with topical NSAIDs. Do not use Flector Patch in a bath or shower. Keep all the topical products containing NSAIDs away from children. If swallowed, get medical help or contact a Poison Control Center immediately. Dispose used Flector Patch properly away from the reach of children and pets as significant amount of the medication remains in the patch after use. Lidocaine. Lidocaine is a topical anesthetic. Lidocaine is available as various creams, gels, ointments and as a patch (Lidoderm). Lidoderm patch is approved for post- herpetic neuralgia (nerve pain after shingles) . There is limited evidence available that Lidoderm may have some effectiveness in other type of pain such as back pain. Pros: Limited risk of systemic side effects. Cons: Very limited data supporting the use for conditions other than post- herpetic neuralgia. Slight but real possibility of lidocaine overdose. Possiblity of local skin reactions such as rash or irritation. Available only by prescription, possible problems with insurance coverage, need for prior authorization from the doctor. Important to know: Apply exactly as directed by physician to the intact skin, do not share Lidoderm patches with others. Applying more patches than prescribed by the doctor, applying the patches for a longer period of time or applying the patch to broken or irritated skin may increase the risk of an overdose. Make sure to tell the doctor all the medications that you are using including any topical anesthetic creams and heart medications to avoid the potential for drug interactions and the possibility of lidocaine overdose. Keep away from the pets and children, never store Lidoderm patches outside of sealed envelope. Discard the unused patches properly by folding the patch so that adhesive sticks to itself away from children and pets as the majority of lidocaine remains in the patch after use. Contact the poison control center or seek emergency medical help immediately if swallowing is suspected. Wash the hands thoroughly after application, avoid contact with the eyes or mucous membranes. Do not apply heat sources such as heat pads or hot water bottles over the patch as this may increase the risk of lidocaine overdose. Stop using the patch and contact your doctor if dizziness, drowsiness, nervousness, euphoria, blurred vision, double vision, vomiting, confusion, tremors, convulsions, sensation of heat or cold, ringing in the ears develop as these may be the signs of lidocaine overdose. As a class of medications NSAIDs are very effective in providing pain relief. However as with any medications there is a risk for adverse effects. Sometimes to find a balance between the most effective pain control and minimizing the possible undesirable effects you have to work closely with your doctor to find the most appropriate drug or combination of drugs that is right for you. In this post I described most common ingredients found in the topical drugs that are used for pain. These medications represent one of the options that you may want to discuss with your doctor in more details based on your unique situation. Marianna Rakovitsky is a pharmacist who blogs at the Healthialist Blog. Submit a guest post and be heard on social media’s leading physician voice. Resident Evil 5 para PCResident Evil 5 para PC descargar Resident Evil 5. Una vez mas deber! Si, por fin tenemos disponible para descargar Resident Evil 5, la quinta entrega del juego que ya hasta ha tenido mas de 3 pel! Lo que si mejora, al igual que cada vez que ha salido una nueva versi. Capcom nos trae Resident Evil 5 con mas terror y disparos que nunca. Disfruta disparando a zombies y viendol. El sonido es espectacular y la ambientaci.
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Some level of seasickness is normal and should be expected during the first 1- 4 days of an ocean passage, even if you have never been seasick while coastal sailing. Seasickness is caused by sensory conflict and/or stress, both of which result in histamine production. Nausea results when histamine reaches the brain. Some people are more susceptible than others but given the right conditions anyone can become seasick. Having dealt with over 4. If you want to avoid seasickness or recover quickly, follow these steps. The responsibility for the safety of the vessel doesn't go away if you're seasick. A continual watch for hazards, other vessels, navigation and weather monitoring must be maintained. It is VERY important to maintain your full watches no matter how you feel; lying in your bunk is not an option. Helping others get over seasickness as quickly as possible must be the focus and responsibility of all on board. Frequently seasick crew will ask to be left alone, saying they don't feel like drinking or eating anything. Leaving them alone is a mistake as it is important to keep them sipping fluids and regularly eating small amounts. To avoid or lessen the severity of seasickness the following steps should be taken: Prior to Sailing. Avoid coffee, black tea, colas and alcohol (all of which are diuretics) and fatty foods at least 4 - 5 days before the passage. Increase your water intake to 2 to 3 liters per day. How to Avoid Sea Sickness. Other prescription medications sometimes used to manage sea sickness include: antidopaminergics (promethazine and metoclopramide), amphetamines.Give each crew member their own 1 liter water bottle labeled with their name. Start appropriate seasickness medication at least 2. Vitamin C, Berocca, Stugeron tablets, Compazine suppositories or Trans. Derm Scopolamine. Prepare everything possible before departure to minimize time required below decks once underway: have meals planned and ready, bunks made up and lee cloths rigged, navigation organized and appropriate clothes laid out. Once Underway. Whether or not you feel any symptoms of seasickness, it is essential to: Maintain a steady fluid intake of one liter per 2- 3 hour watch ensuring a total of 2- 3 liters per day. As soon as seasick symptoms appear (mild headache, queasiness, sweating, drowsiness, depression) sensory conflict has caused histamine production to start and a more disciplined response is required. Add Emer'gen- C (available in health food stores), Berocca or a similar vitamin- mineral drink mix containing potassium and electrolyte replacement minerals to your drink bottle. The electrolyte replacement helps your cells absorb fluid more quickly and completely. Gatorade and similar sports drinks lack vitamin C which counteracts histamine production. Eat small amounts of food on a regular basis: crackers, cookies, crystallized ginger, tinned fruit or hard candies. Bananas provide potassium and are an excellent first choice if available. Effective Seasick Medication. Stugeron (cinnarizine) 1. US, but are readily available in many countries including the UK or from www. Canada. Drugs. Online. Stugeron, an over- the- counter antihistamine has consistently proven to be one the most effective anti- seasick medications causing less drowsiness than other antihistamines. Compazine (prochlorperazine) 5, 1. As anxiety can cause nausea and since Compazine treats both it is an important drug to carry aboard. Expect major personality changes and serious drowsiness if this Scopolamine is used more than four days. With any drug, prescription or OTC, there are published side effects. Do your homework; ask your physician and pharmacist and research each drug. If you have heart, blood pressure or prostate problems your physician may not be able to prescribe some of these drugs. Test each anti- seasickness drug ashore well before departure to check for side effects. If so: Take the helm and steer the boat, focusing on the horizon. If the boat is overpowered, reduce sail. If you are sailing close- hauled, ease sheets and fall off. When going below, first take your foulies off in the cockpit rather than below decks. Minimize time working below if possible. The faster you either get back on deck or lie down the better you'll feel. Lying down prevents histamine from reaching the brain, decreasing nausea. Avoid lying down in your foulies for an extended period of time to lessen the chance of hyperthermia. Maintain medications and review whether additional or different medications are required. Going to Vomit? If so: Vomit into a 2 liter plastic container with tight- fitting lid that you can use on deck and below. To avoid a possible overboard situation don't lean over the lifelines to vomit; use a container. Most people feel considerably better after vomiting, but it is essential to maintain a steady fluid- electrolyte intake. This is helpful for avoiding Sopite syndrome which will make you feel like sleeping and not wanting to eat or drink. Giving into Sopite puts you at risk of prolonged dehydration, which can lead to shock. Prolonged vomiting causes dehydration surprisingly quickly, hypothermia (even in the tropics) anxiety, confusion, depression and shock. Once in shock, an enema or IV is the next step to rehydration and your survival. After departure, coastal wave refraction and associated choppiness should be followed by more regular ocean swells, so do not be initially discouraged by seasickness. In almost all cases sailors recover from seasickness within 1- 4 days if they follow the above advice. Inherent in accepting and mastering these steps is realizing your responsibility and doing everything within your power to get over or help crew mates get over seasickness as quickly as possible. No one wants to be a liability aboard. In most cases, those that have come through appreciate that managing seasickness effectively is a key to unlocking the pleasures of blue water sailing. |
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