Malawi Blog 13 januari 2016

Wednesday 13-01-2016

7.30-10.00

We started the day with explaining the way we are going to teach them about the medicines. We told them that the medicines we will teach them about are divided in 3 groups: antiparasitics, antibiotics, other (anti-inflammatory/painkillers). We made a list about what they need to do before using a medicine:

  1. Read the paper
  2. Choose the right medicine
  3. Check if it is useful for the right disease or symptoms
  4. In which animals can you use this medicine
  5. How to use? (injection or oral)
  6. Check contra-indications
  7. Check withdrawal period
  8. Check Expiry date
  9. Calculate the dose

We started with the drug ‘Levamisole’; an anti-parasitic. We showed the drug to the participants and they all read the text on the packets. We also let them calculate the doses for a chicken and a cow.  For the chicken it was a bit difficult because you have to dilute a very small amount in lots of water. We said that we were going to ask Kepro about how to do this.

10.15-12.00

We gave a college about bleeding. Before we started we asked them if they had ever had seen a bleeding animal. None of them had seen it. This showed us that we did not have to pay too much attention to this subject because it probably won’t happen often in this area. They did see wounds, but never really saw them bleeding, because they most of the time occur during the night and be discovered the next morning.

We discussed the drug Ivermectin as another antiparasitic which works against more parasites than Levamisole. We also compared the withdrawal periods and in which animals you can use this drug. We discussed the advantages and disadvantages of both drugs. Many participants had already used Ivermectin also in animals of clients.

13.15-15.00

Practical: wound treatment

We divided the group like yesterday. Eva’s group treated a donkey with a small wound in the lip and a large one in the ear. Iris her group treated a donkey with the large wound on the bumb. This was a bit challenging because the wound was painful and the donkey jumped away. We started again with general appearance and clinical examination, which already went much better than yesterday.  We did the following steps:

  • Washing hands with soap
  • Put hand gloves on
  • Cut the hairs away
  • Clean the wound with a clean cloth, first with water (boiled and 3 teaspoons of salt in 1 litre water)
  • Clean the wound with a betadine solution (colour of weak tea)

We changed patients and also practices bandaging on a leg of the donkey. The donkeys were very easy to handle and very useful for this practicum!

15.15-16.30

We walked back, had a drink and finished the day with a college bout fractures. Kelving and Masida shared their experience about a cow with a broken leg and what they did as a treatment; they made a bandage. The cow started using the limp after 2 weeks. They let the bandage until 6 weeks. In the college, we told them that they should never put the bandage too tight. In practical we think now actually that they should not easily do it too tight but more easily too loose. This is a thing we should actually had change in our college.