La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.

Microsoft word - trek la emergency medical form.doc

Medical Form and Emergency Contacts
Child’s Name______________________________________ Date of Birth___________________
Address__________________________________City____________________Zip______________
Mother’s Name______________________________
Home #___________________ Work #_________________
Cell #____________________
Father’s Name_______________________________
Home #_____________________ Work #_____________________ Cell #____________________
In Case of Emergency please contact:
Name______________________Phone_________________ Relationship______________
Name______________________Phone_________________ Relationship______________
Name______________________Phone_________________ Relationship______________
Health Care Information
Insurance Provider__________________
Policy#________________________________
Phone: ___________________________________________________________________
Doctor_____________________________ Phone #_______________________________
Any additional medical information_____________________________________________
_________________________________________________________________________
Medical History
Has your child had any of the following (Please indicate the most recent dates):
Mumps__________ Measles__________ Headaches______________ Tonsillitis________ Fainting__________ Nosebleeds______________ Does your child have any condition that would prevent him/her from participating in any
activities?

__________________________________________________________________________________
__________________________________________________________________________________ Medical Form and Emergency Contact Information Trek LA Page 1 of 2 Please provide details of any of the following ailments (if applicable):
Allergies (food, drugs, etc.)____________________________________________________________ Bee Stings, Mosquitos________________________________________________________________ Asthma or Hay Fever_________________________________________________________________ Serious Injuries/Illnesses______________________________________________________________ In addition, please describe the reaction if exposed to any allergens, the severity of the reaction, and
the requested course of action:
_________________________________________________________
Does your child require an EpiPen? Yes: _______ No: ____________
Has your child received medical treatment during the past year? Yes: Date: _____________ Reason: ____________________________________________ Does your child currently take medication? ___________________________________________
If Yes, please list medications: ______________________________________________________
Will your child require any medication while at camp? Yes: ________ No: ___________ Is your child up-to-date on all state required immunizations? _________________________________ Please provide the date of your child’s last tetanus shot: ____________________________________ Please check the non-prescription medications that we have permission to give your Pepto Bismol ____ Throat lozenges _____ Tylenol ______ Benadryl ______ Dramamine ______ Advil _______ I hereby give Trek LA permission to administer medications indicated on this form and Trek LA is held harmless. Incase of an emergency and I cannot be reached, I authorize Trek LA director or her designee, to obtain medical treatment that he or she deems necessary for the welfare of my child or ward. Parent/Guardian Name____________________ Relationship _________________
_______________
Medical Form and Emergency Contact Information Trek LA Page 2 of 2

Source: http://www.trekla.net/signup/index_htm_files/Trek%20LA%20Emergency%20Medical%20Form.pdf