Abstract:
A method and system for the self-administration of medication is provided. This method manages the types, dosages and sequencing of medication in order to facilitate its most effective administration. This method and system is particularly adapted for embodiments useful for the treatment of acute coronary syndrome and for diarrhea. The system includes a medication kit, which itself includes medication cards, information and a mechanism for sequencing the administration of the medication.

Description:
BACKGROUND OF INVENTION  
         [0001]    1. Field of the Invention.  
           [0002]    This invention relates to methods and systems of administering medications. More specifically, this invention relates to methods and systems for self-administering of medications where the particular order and/or timing of the administration are important.  
           [0003]    2. Description of Related Art.  
           [0004]    A variety of techniques and devices related to the administration of medication are well known in the art. Generally, such techniques and devices do not provide a structure for the sequence of administration of a variety of drugs.  
           [0005]    Although the following referenced documents, may not constitute prior art, the reader is referred to the following U.S. patent documents for general background material. Each of these patents is hereby incorporated by reference in its entirety for the material contained therein.  
           [0006]    U.S. Pat. No. 4,004,577 describes a method of treating coronary prone patients when heart attack symptoms occur before qualified direct contact personal care can be administered to the patient.  
           [0007]    U.S. Pat. No. 4,169,550 describes an emergency medical kit having a plurality of pockets and straps, which are designed to hold medical equipment.  
           [0008]    U.S. Pat. No. 4,212,392 describes a portable medical kit, which maintains medicines, instruments and equipment secure when the kit is closed.  
           [0009]    U.S. Pat. No. 4,350,245 describes a medical kit for the protective storage of teat swabs.  
           [0010]    U.S. Pat. No. 4,476,016 describes an apparatus and a kit packaged for use in isolating and identifying and quantitatively measuring the AMB ipso-enzyme of creatine phosphokinase in fresh human blood serum and apparatus including combinations of racks, glass receptacles and other equipment for making various quantitative and qualitative blood and blood serum tests.  
           [0011]    U.S. Pat. No. 4,658,830 describes a device for initiating reperfusion treatment of a coronary prone individual prior to the establishment of qualified direct contact personal care at a time during the early minutes or hours after the onset of heart attack symptoms and after qualified personnel have participated by telephone in the decision to initiate such treatment.  
           [0012]    U.S. Pat. No. 5,207,330 describes a medical emergency carrying case.  
           [0013]    U.S. Pat. No. 5,622,985 describes a method for preventing or reducing the risk of a second heart attack in a patient having a substantially normal serum cholesterol level by administering an HMG CoA reductase inhibitor such as pravastatin, alone or in combination with an ACE inhibitor.  
           [0014]    U.S. Pat. No. 5,658,801 describes a medical diagnostic test kit.  
           [0015]    U.S. Pat. No. 5,848,700 describes an emergency medical kit that includes a carrying case of approximately briefcase or small suitcase sized with the upper and lower sections divided into a large number of compartments by insertion of a plastic organizer.  
           [0016]    U.S. Pat. No. 5,977,160 describes a method for treating a human survivor of a heart attack and provides further improvement in survival following the heart attack by the early initiation and long-term administration of an angiotensin converting enzyme inhibitor.  
           [0017]    U.S. Pat. No. 6,012,586 describes a medical procedure kit for performing an angiographic or medical procedure.  
           [0018]    U.S. Pat. No. 6,116,426 describes an emergency medical kit having a container with a hinged lid and a latch for use in organizing and protecting ophthalmic instruments and supplies, such as sterilized pads, drugs, extractors, lights, ointments, tape and other items needed by a physician or emergency personnel working under the auspices of a physician in rendering emergency medical assistance to a person suffering an eye injury.  
           [0019]    U.S. Pat. No. US 6,323,188 B1 describes a method of reducing the incidence and severity of stroke, primary heart attack and any subsequent heart attack or stroke in humans by daily administration of an effective amount of a combination of acetylsalicylic acid (ASA), a cyanocobalamin compound (Vitamin B12), a folic acid compound, and pyridoxine compound (Vitamin B6) in an easy to take daily administration pack.  
           [0020]    U.S. Pat. No. 6,382,568 B1describes a tube and wire organizer for medical situations that is an aide to organize adjunctive equipment used by paramedical and medical people.  
           [0021]    U.S. patent application Publication No. US 2001/0002025 A1describes a dosing dispenser for the alternating removal of two or more, possibly different solid forms of pharmaceutical substances to be taken, which differ in their quantitative and/or qualitative composition.  
           [0022]    U.S. patent application Publication No. US 2002/0025538 A1describes a medical kit which overcomes the problem with non-specific binding and interaction, thus providing a highly reliable method for qualitative or quantitative determination of a drug in a biological fluid.  
           [0023]    U.S. patent application Publication No. US 2002/0025917 A1describes a process of creating an admixture of liquefied aspirin or other heart attach medication and administering said admixture to the buccal mucosa of the cheek pouch and/or the nasal passages of heart attack victims.  
           [0024]    U.S. patent application Publication No. US 2002/0088737 A1describes an emergency pill dispenser with a sealed enclosure containing a pill or pills.  
         SUMMARY OF INVENTION  
         [0025]    It is desirable to provide a method and system for the self administration of medication by individuals. It is particularly desirable to provide such a method and system for the self-administration of medications that both provides information regarding the medical condition-giving rise to the need for the medication, the administration of the medications, and manages the sequence of administration of a plurality of medications and/or dosages.  
           [0026]    Accordingly, it is an object of this invention to provide a method and system for the self-administration of medication.  
           [0027]    Another object of this invention is to provide a method and system for the self-administration of medication that dispenses information regarding the medical condition related to the medication.  
           [0028]    A further object of this invention is to provide a method and system for the self-administration of medication that dispenses information regarding the medication themselves.  
           [0029]    A still further object of this invention is to provide a method and system for the self-administration of medication that manages the sequence of administration of a plurality of different medications and/or dosages of medication.  
           [0030]    It is an object of this invention to provide a method and system for the self-administration of medication that is suitable for use where the patient remote from emergency medical care.  
           [0031]    It is another object of this invention to provide a method and system for the self-administration of medication that is appropriate to a wide variety of medical conditions.  
           [0032]    It is a further object of one embodiment of this invention to provide a method and system for the self-administration of medication that is appropriate for use in treating symptoms of unstable coronary syndromes, such as myocardial infarction and unstable angina.  
           [0033]    It is a still further object of one embodiment of this invention to provide a method and system for the self-administration of medication that is appropriate for use in treating symptoms of diarrhea.  
           [0034]    Another object of this invention is to provide a method and system for the self-administration of medication that preserves the freshness and avoids contamination of the medications.  
           [0035]    A further object of this invention is to provide a method and system for the self-administration of medication that is consistent with requirements for distribution of prescription medications.  
           [0036]    Additional objects, advantages and other novel features of this invention will be set forth in part in the description that follows and in part will become apparent to those skilled in the art upon examination of the following or may be learned with the practice of the invention. The objects and advantages of this invention may be realized and attained by means of the instrumentalities and combinations particularly pointed out in the appended claims. Still other objects of the present invention will become readily apparent to those skilled in the art from the following description wherein there are shown and described present preferred embodiments of this invention, simply by way of illustration of the present modes best suited to carry out this invention. As it will be realized, this invention is capable of other different embodiments, and its several details, and specific steps, language and package structure are capable of modification in various aspects without departing from the invention. Accordingly, the drawings and descriptions should be regarded as illustrative in nature and not as restrictive.  
       
    
    
     BRIEF DESCRIPTION OF DRAWINGS  
       [0037]    The accompanying drawings incorporated in and forming a part of the specification, illustrate present preferred embodiments of the present invention. Some, although not all, alternative embodiments are described in the following description.  
         [0038]    In the drawings:  
         [0039]    [0039]FIG. 1 is a process flow chart of the present use of the medication kit of this invention.  
         [0040]    [0040]FIG. 2 is a process flow chart of the present use of the medication kit of this invention.  
         [0041]    [0041]FIG. 3 a  is a perspective drawing of a first example embodiment of the kit structure of this invention.  
         [0042]    [0042]FIG. 3 b  is a perspective view of an example medication card used with the first example embodiment of the invention.  
         [0043]    [0043]FIG. 3 c  is a perspective drawing of the first example embodiment of the kit structure of this invention with the top lid open.  
         [0044]    [0044]FIG. 3 d  is a perspective drawing of the first example embodiment of the kit structure of this invention with the end door open.  
         [0045]    [0045]FIG. 4 a  is a perspective drawing of a second example embodiment of an alternative kit structure of this invention.  
         [0046]    [0046]FIG. 4 b  is a perspective drawing of the medication card used with the second example embodiment of the alternative kit of this invention.  
         [0047]    [0047]FIG. 5 a  is a representation of the first medication card of the cardio-kit embodiment of this invention.  
         [0048]    [0048]FIG. 5 b  is a representation of the second medication card of the cardio-kit embodiment of this invention.  
         [0049]    [0049]FIG. 5 c  is a representation of the third medication card of the cardio-kit embodiment of this invention.  
         [0050]    [0050]FIG. 5 d  is a representation of the fourth medication card of the cardio-kit embodiment of this invention.  
         [0051]    [0051]FIG. 6 a  is a representation of the first medication card of the Touista-kit embodiment of this invention.  
         [0052]    [0052]FIG. 6 b  is a representation of the second medication card of the Touista-kit embodiment of this invention.  
         [0053]    [0053]FIG. 6 c  is a representation of the third medication card of the Touista-kit embodiment of this invention.  
         [0054]    [0054]FIG. 7 a  is a section view of a third alternative embodiment of the kit of this invention.  
         [0055]    [0055]FIG. 7 b  is a perspective view of the third alternative embodiment of the kit container with the lid open.  
     
    
       [0056]    Reference will now be made in detail to the present preferred embodiments of the invention, examples of which are illustrated in the accompanying drawings.  
       DETAILED DESCRIPTION  
       [0057]    This invention is a method and system for the self administration of medications for situations where the patient or user has a critical health emergency and/or does not have ready access to professional medical assistance. Although this invention can be used for a wide variety of medical conditions or symptoms, two specific embodiments of applications of this invention are described herein as examples. The applicant intends that these embodiments be considered as both examples and as descriptions of the best modes of the invention known to the inventor at the time of filing, and not as limiting the scope of patent protection.  
         [0058]    The first example embodiment of this invention is as a self administration kit to treat unstable coronary syndromes, including myocardial infarction and unstable angina pectoris in circumstances in which immediate access to emergency medical services in not available, referred hereinafter as the “cardio care kit.” The second example embodiment of this invention is as a self administration kit for the treatment of traveler&#39;s diarrhea, typically caused by growth of a common bacteria, Escherichia Coli in the intestine, referred hereinafter as the “diarrhea care kit.” With regard to the cardio care kit and by way of introduction, treatment of myocardial infarction and unstable angina relies in part on improving the blood flow to the cardiac muscle or reducing the energy requirements of cardiac work. In nearly all cases of sudden onset of new cardiac ischemic symptoms, a clot in a coronary artery leads to acute vessel obstruction and the sudden onset of chest pain due to myocardial ischemia or myocardial infarction. Medical treatment typically depends on receiving intravenous blood thinners (such as thrombolytic therapy and heparin) or having balloon angioplasty performed as an emergency procedure. Early initiation of treatment with Aspirin has been proven to reduce myocardial damage due to myocardial infarction and treatment with a new oral antiplatlelet medication, clopidrogrel, has been shown to reduce the chances of death, nonfatal myocardial infarction and stroke when given immediately after the diagnosis of the onset of acute chest pain due to coronary ischemia. Nytroglycerin reduces myocardial damage during heart attach by reducing blood pressure, dilating coronary arteries and reducing myocardial oxygen demand. Beta adrenergic blocking medication reduce heart rate, reduce blood pressure and subsequently reduce heart attach size. Beta blockers by raising the electrical threshold for ventricular fibrillation, also reduce the risk of sudden death from ventricular fibrillation in the setting of acute myocardial infarction. These treatments are not generally available to the general public unless they can be reached by advanced medical care, or if the patients can reach emergency medical services. The cardio care kit embodiment of this invention is designed to be carried by patients at risk for the development of unstable coronary syndromes including, but not limited to, myocardial infarction and unstable angina pectoris. If a patient with the symptoms of myocardial infarction or unstable angina pain cannot be treated or reached immediately by emergency medical care, the cardio care kit is designed to be self administered for treatment of acute unstable coronary syndromes. The kit provides patients with important medications, in a package which encourages the desired order of administration of the medications, along with instructions, which will improve the patient&#39;s symptoms, reduce their chances of dying and reduce the size of their eventual myocardial infarction while they await transportation to a medical facility for further medical care. This embodiment of the invention also provides information regarding the symptoms and signs of a heart attack and instructions for the sequential use of the cardio care kit&#39;s medications to improve the patient&#39;s chances of survival of a heart attack in the absence of medical care. The kit of this embodiment typically includes Aspirin, anticoagulant (typically clopidrogrel), nitroglycerin and in some cases betablocker medications. The reader should be aware that the concept of this invention is not limited to the specific medications and that it is expected that the preferred medications will change over time as the emergency treatment of heart attack and unstable angina evolves in the future. Since the cardio care kit is designed to be self administered by patients it will often be used in locations where immediate medical emergency care is not available or in which medical care is deemed to be inadequate, such as wilderness areas, rural areas, third world countries or in urban areas when circumstances such as weather, traffic, distance or disaster prevents access to emergency medical services. Typically, patients will have the cardio care kit immediately available at the time their symptoms first develop. The component medications will have been prescribed and dispensed before the user of the kit is in a location where they might have the onset of an unstable coronary syndrome. At least one-half of patients who suffer myocardial infarction and unstable angina have not sought prior medical care for their coronary risk factors or coronary artery disease warning symptoms. In the present use of the invention, the cardio care kit will be made available to the general public via Internet access after patients have completed an on-line Internet consultation to confirm they are candidates for the kit and have no contraindications to the component medications of the kit. The cardio care kit will be prescribed only by cardio care kit authorized physicians, and through cardio care kit licensed pharmacists and pharmacies. The cardio care kit only uses US FDA approved medications.  
         [0059]    In its present preferred embodiment, the packaging, medications and instructions are combined into a small, compact kit with printed instructions for use of each of the medications. The sequencing of use of the medications is clearly labeled in the kit as well as side effects and contraindications to further use of components of the kit based on the patients symptoms of shock, heart failure and heart rate and blood pressure during their acute ischemic coronary attack.  
         [0060]    Acute coronary syndromes are usually a result of coronary thrombosis on superimposed vulnerable atherosclerotic coronary artery plaque. The erosion of the surface of mildly obstructive coronary plaque, causes local vessel clotting and leads to sudden coronary artery closure, and often is not preceded by warning symptoms of chest pain or shortness of breath. Myocardial infarction and unstable angina often develop without warning. Rapid treatment of myocardial infarction and unstable angina reduces mortality and improves the chances of survival for patients. Patients that do not have access to emergency medical care may die suddenly of cardiac rhythm disturbances or suffer extensive myocardial damage leading to cardiac shock; if they survive. Myocardial damage may lead to future congestive heart failure. The cardio care kit embodiment of this invention improves patient&#39;s chances to receive further care for what otherwise might be fatal coronary atherosclerosis.  
         [0061]    For patients unable to reach definitive cardiac care immediately, treatment with antiplatelet medications will improve their chances of survival and possible abort death in the case of coronary thrombosis. Aspirin, which affects platelet thromboxane production, is available without a prescription in the United States and is a prescribed treatment for acute coronary syndromes and, moreover, has been shown to reduce mortality in the setting unstable coronary syndromes. Nitroglycerin is approved by the US FDA for chest pain during acute coronary syndromes and relieves chest pain and reduces the size of myocardial infarction. Cardio care kit patients are instructed to take clopidogrel if their pain is not relieved by aspirin followed by nitroglycerin. Following the administration of aspirin and clopidogrel, the patients will typically have a significant antiplatelet effect and will have an anticoagulant effect for about three days. Betablocker medications can also be used to reduce the incidence of fatal arrhythmias and to reduce mortality when they are taken at the onset of acute myocardial infarction. Betablockers have been recommended by the American College of Cardiology/American Heart Association (ACC/AHA) Guidelines for the Management of Patients with acute myocardial infarction. Cardio care patients, of this invention, are instructed to take betablockers typically about one hour into the onset of their heart attach if they feel that the will be delayed more than two hours from receiving medical care. For kits of this invention containing betablockers, patients are instructed to take metoprolol, typically about 25 mg, orally every six hours based on their blood pressure, heart rate and symptoms. Cardio care kit, of this invention, patients can be advised to purchase a portable blood pressure monitor to keep with them when they are away from emergency medical care for an extended period of time and may need to use the contents of the cardio care kit.  
         [0062]    In the basic cardio care kit of this invention, instructions and medications for patients suffering symptoms of acute myocardial ischemia (myocardial infarction and unstable angina pectoris) who do not have immediate access to emergency medical services. Patients are typically advised by the invention&#39;s provided instructions to contact, typically by telephone, their local emergency medical provider and to initiate transport as soon as possible to the nearest medical facility. In the present basic embodiment of the invention, patients are instructed to chew and swallow four 81 mg tablets of aspirin, to use nitroglycerin every five minutes, depending on the level of chest pain and symptoms, and finally to take four tablets of 75 mg of clopidogrel, if symptoms are not relieved by three sequential nitroglycerin tablets. In the extended care embodiment of the invention, patients are supplied with a kit with aspirin, nitroglycerin and clopidogrel, as in the basic embodiment, and will also be supplied with betablocker therapy. In this embodiment, patients are also instructed to take betablockers one hour after the onset of symptoms of heart attack based on the presence or absence of symptoms and signs of shock, heart failure and pulmonary edema. This embodiment of the kit contains 25 mg metoprolol tablets. The instructions for the use of metoprolol will be based on heart rate and blood pressure.  
         [0063]    The present cardio care kit embodiments of the invention contain instructions for the signs and symptoms of myocardial infarction as well as instructions for the use of each of the component medications. Patients are generally instructed to call 911 before taking the medications and to go or be transported to the nearest hospital emergency room, if 911 or the equivalent emergency medical number cannot be reached. Patients are not prescribed the kit of this embodiment of the invention if they have a history of bleeding, prior intracerebral bleeding, a history of cerebral aneursym, recent major trauma, a history of aortic dissection or allergies or hypersensitivity to any of the components of aspirin, clopidrogrel, nitroglycerin or betablockers. A patient with a history of asthma will not be prescribed the remote-cardio care kit embodiment that contains betablockers.  
         [0064]    As noted above, at present two embodiments of the cardio care kit embodiments are available. The “rural-cardio care kit” embodiment consists of a folded kit with medications in a film tab package, with aspirin, clopidrogrel and a sealed bottle of 25 nitroglycerin tablets. This embodiment is typically used by patients with contra indications to betablockers or by patients that anticipate reaching medical care within two hours from the onset of a heart attack, but know that emergency medical care is not immediately available. The second “remote-cardio care kit” embodiment, includes the medications of the “rural-cardio care kit” plus the betablocker medication, typically metoprolol. This “remote-cardio care kit” embodiment includes instructions for patients not to take betablockers if their blood pressure is below 90 mmHg or if the patient has symptoms of shock, heart failure, pulmonary edema, asthma or have a heart rate below 50 beats per minute. The extended or “remote” embodiment of the kit of this invention is for patients who do not expect to reach medical care for time periods of two hours to several days after the onset of their heart attack. Such patients include patients who plan to travel in wilderness locations, third world countries where medical care is limited, and/or for patients who live in locations where it is likely to take over two hours to be transported to an emergency room. The medications contained in the present kit of this invention typically have a shelf life of about one year. The kit is typically available to patients only after a licensed physician has prescribed each component medication of the kit. Patients are preferably required to complete a cardiology consultation prior to the dispensing of the components of the kit. The patients also receive with the kit of this invention explicit instructions concerning the use of the kit and information concerning the symptoms and signs of acute coronary syndromes. Contraindications to the use component medications of the kit are also included. Patients are also generally instructed to acquire a portable blood pressure and heart rate monitor if they intend to use the remote cardio care kit and who expect to be out of touch with emergency medical services for more than two hours after the onset of chest pain.  
         [0065]    In a second example embodiment of this invention, the medications and kit instructions provide treatment for traveler&#39;s diarrhea. Traveler&#39;s diarrhea affects nearly one quarter of travelers to tropical vacation lands, and even more who travel to developing and third world countries. The disease is normally caused by a growth of a common bacteria, Escherichia Coli in the patient&#39;s intestine. Traveler&#39;s diarrhea commonly occurs in areas where hygiene is poor. The Medical Letter recommends, “Travelers should avoid raw vegetables, fruit they have not peeled themselves, unpasteurized dairy products, cooked food not served steaming hot and tap water including ice.” This embodiment of the invention, referred to generally as the Tourista Euro Kit, is designed for use in treating severe cases of Traveler&#39;s Diarrhea (TD). The Tourista Euro Kit embodiment is also designed for use by patients who do not have immediate access to emergency medical services. It presently contains three medications, each of which has been proven to help in the cessation of common diarrhea. It is also packaged with detailed instructions to inform the patient the sequence and timing of taking the medications. Patients are also instructed to begin self treatment when diarrhea symptoms are distressing or persistent.  
         [0066]    Preferably embodiments of the kits of this invention are provided as a kit with medications to be dispensed in a sequential timed fashion. The kit may be folded or may be provided with shelves with the medications installed in cards or film tab packaging. Large print instructions indicating the sequence and timing of administration of the medications along with general emergency medical information, such as 911 calls, the local emergency medical telephone numbers, and directions to the nearest hospital. The present kit embodiments of this invention include instructions not to take the components of the kit if they have contraindications to use of the kit medications as the patient&#39;s attack evolve. For example, a patient may have a normal heart rate and blood pressure at the start of his or her attack, but develop significant bradycardia, in which event they are instructed not to take the nitroglycerin, which could aggravate a right ventricle infarction or be a sign of heart block. Such patients will be instructed not to take clopidogrel in the presence of active bleeding or recent injury, and are instructed not to take betablockers in the presence of symptoms or signs of shock, bradycardia, heart failure, pulmonary edema or asthma. The basic designs of the interior and exterior of two embodiments of the kit are show in several of the following drawings.  
         [0067]    Although, this disclosure describes in detail several embodiments of this invention which include application of the invention to cardiological distress or diarrhea, the concepts of this invention are envisioned as being applied to a wide variety of medical conditions, diseases and emergencies, for example, but without intending to limit the potential application for this invention, this invention can also be applied to the treatment of diabetes, epilepsy, asthma, food poisoning, trauma, shock, pain and various neurological conditions.  
         [0068]    [0068]FIG. 1 shows a process flow chart of the present use of the medication kit of this invention. In the present preferred embodiment of the uses of this invention, initially a condition is identified  101 . Typically this identification  101  is performed by recognizing symptoms or risk conditions associated with a particular medical condition. Medication for the treatment of the identified condition is recommended  102 . In many instances this recommendation by constitute prescription, in other instances it may be simply be cross-references the identified condition to one or more specific medications. A kit is assembled  103 . The kit is a collection of one or more medications packaged and presented so as to encourage or otherwise facilitate the administration of the medications in a particular sequence or at a particular timing interval. The kit is delivered  104  to a user. The user is typically the patient or potential patient, although in some uses of this invention, the user may be a health care worker or care giver. Symptoms are detected  105 , which are likely to correlate to the onset of a medical condition or emergency medical situation. Often these symptoms are detected  105  by the patient himself or herself, in other situations the symptoms are detected by a trained professional or an interested other person. The medication is administered  106  typically by the patient himself or herself, although alternatively, another person may be required to administer the medication. Administration of the medication includes receiving (typically ingesting) a succession of medications in a specified order and often at proscribed intervals or timing. Instructions are provided to guide the user and/or patient in the administration of the medications and in identification of symptoms and contraindications relevant to the administration of the medications. Follow-up medical care is given  107 , typically by medical professionals, often in a hospital, clinic or other emergency medical service provider.  
         [0069]    [0069]FIG. 2 shows a process flow chart of the present use of the medication kit of this invention, which would typically be part of the medication administration  106  step of FIG. 1. If possible, emergency medical assistance is contacted  201 . This contact may be by an automatic alarm, a telephone or other convenient method. A section of the kit of this invention is opened  202 . Medication is taken  203  sequentially as instructed by the incorporated instructions of the invention. Wait  204  for the required time period. A test  205  is made to determine if additional sections of medication remain. If additional medications remain to be taken in accordance with the incorporated instructions, the process returns to the opening kit section step  202 . If no additional sections remain to be taken, the user/patient continues to monitor symptoms  206 .  
         [0070]    [0070]FIG. 3 a  shows a perspective drawing of a first example embodiment  300  of the kit package structure of this invention. This kit package  300  is a generally rectangular box with two openable panels  301 ,  302 , each of which is provided with a tab  304 ,  305  or other mechanism for opening the panel. The tabs  304 ,  305  operate by pulling or pressing the tab  304 ,  305  away from the package  300 , thereby causing the openable panel  301 ,  302  to open in a door like manner along an edge. The first openable panel  301  is generally for access by the user/patient to medication/information cards  306 , see FIG. 3 b , stored within the package  300 . The first openable panel  301  is typically provided with an information region  302 , such as prescription information, medication information and/or condition information for identification purposes. This information region  302  may be provided by writing directly on the first openable panel  301  or by affixing a sticker or other labeling device. In alternative embodiments, this information region  302  may be located on other parts of the package  300  or may simply be located on a container, such as sack, bag or box, for the filled package  300 . The second openable panel  303  is generally provided for access to the interior of the package  300  for loading the medication cards  306 .  
         [0071]    [0071]FIG. 3 b  shows a perspective view of an example medication card  306  used with the first example embodiment of the invention. As shown this medication card  306  has one or more locations  308  for holding medications. Typically, these locations  308  are sealed plastic receptacles suitable for holding individual pills or capsules. Alternatively, in some embodiments, the location  308  are sized to accommodate a glass or other container for holding medications. An information panel  307  is provided for locating the medication, medical condition, symptom, and/or contraindication information, including specific sequence and/or timing information for the administration of the medication located in the storage locations  308 .  
         [0072]    [0072]FIG. 3 c  shows a perspective drawing of the first example  300  embodiment of the kit structure of this invention with the top panel  301  open, exposing the interior  309  of the package  300 . This embodiment  300  is provided with a number of ridges or shelves  310  for holding medication cards  306  in a desired administration order, top to bottom.  
         [0073]    [0073]FIG. 3 d  shows a perspective drawing of the first example embodiment of the kit structure of this invention with the end panel  303  open, exposing an alternative view of the interior  309  of the package  300 . This view shows both sets of ridges or shelves  310 ,  311  for holding medication cards  306 , and shows the package  300  open for loading the medication cards  306 .  
         [0074]    [0074]FIG. 4 a  shows a perspective drawing of a second example  400  embodiment of an alternative kit structure of this invention. This kit  400  is a standard rectangular box with an openable top  401 , on which is provided a marker portion  402  for presenting such as information as prescription information, medication information and/or condition information for identification purposes.  
         [0075]    [0075]FIG. 4 b  shows a perspective drawing of the medication card  403  used with the second example  400  embodiment of the alternative kit of this invention. As shown this medication card  403  also has one or more locations  407  for holding medications. Typically, these locations  407  are sealed plastic receptacles suitable for holding individual pills or capsules. Alternatively, in some embodiments, the location  407  is sized to accommodate a glass or other container for holding medications. An information panel  404  is provided for locating the medication, medical condition, symptom, and/or contraindication information, including specific sequence and/or timing information for the administration of the medication located in the storage locations  407 . Further, this medication card  403  is provided with notches  406   a,b  suitable for inserting the tip of a user/patient&#39;s finger for withdrawal of the medication card  403  from the package  400 . Separation from stacked medication cards  403  within the package  400  is accomplished by the wings  405   a,b  provided on the medication card  403 .  
         [0076]    [0076]FIGS. 5 a - 5   d  and  6   a - 6   c  are representations of medication cards or panels of the present embodiment of this invention. Cards are used where it is desirable to have each separate from succeeding cards, either for preparing or for administering. Panels are used where each is connected along an edge to the next, thereby making a single “card.” The panel single card embodiment is preferred where a folded medication card is desired. For the purpose of the remaining discussion, both panels and cards shall be referred to as cards, although substituting multiple cards by a single carded foldable into multiple panels is an alternative within the concept of this invention. Each card typically represents a separate prescription from the prescribing or recommending medical professional and will generally include the date of issue and expiration along with instructions for the administration of the contained medication and are clearly labeled and ordered in the package in accordance with the order in which they are to be administered. In FIGS. 5 a - 5   d , the first three cards  5   a - 5   c  comprise the “basic” or “rural” cardio care kit embodiment. The previously described “remote” embodiment comprises all four of the cards  5   a - 5   d.    
         [0077]    [0077]FIG. 5 a  shows a representation of the first medication card  501  of the cardio-kit embodiment of this invention. A first instruction portion  505  describing the medication  507  enclosed in the card locations  506 , the instructions for taking the mediation and the following step instructions is provided. A second instruction portion  515  specifically instructing the user/patient on the next step in the sequential administration of the medication is also provided. A plurality of medication storage locations  506  is provided with the medication installed. Typically, these medication storage locations  506  are constructed as sealed plastic containers or pockets. Paper and/or foil can also be substituted, as is well known in the art without departing from the concept of this invention. In this card, which is part of the cardio care kit, the medication is presently aspirin.  
         [0078]    [0078]FIG. 5 b  shows a representation of the second medication card  502  of the cardio-kit embodiment of this invention. A first instruction portion  508  describing the medication  510  enclosed in the card location  509 , the instructions for taking the mediation and the following step instructions is provided. A second instruction portion  516  specifically instructing the user/patient on the next step in the sequential administration of the medication is also provided. A single medication storage location  509  is provided with the medication installed. Typically, this medication storage location  509  is constructed as sealed plastic containers or pockets. Paper and/or foil can also be substituted, as is well known in the art without departing from the concept of this invention. The medication  510  in this card  502  which is part of the cardio care kit embodiment of this invention is presently nitroglycerin.  
         [0079]    [0079]FIG. 5 c  shows a representation of the third medication card  503  of the cardio-kit embodiment of this invention. A first instruction portion  518  describing the medication  512  enclosed in the card locations  511 , the instructions for taking the mediation and the following step instructions is provided. A second instruction portion  517  specifically instructing the user/patient on the next step in the sequential administration of the medication is also provided. A plurality of medication storage locations  511  are provided with the medication installed. Typically, these medication storage locations  511  are constructed as sealed plastic containers or pockets. Paper and/or foil can also be substituted, as is well known in the art without departing from the concept of this invention. This medication  512  loaded in this card  503  is presently clopidrogrel.  
         [0080]    [0080]FIG. 5 d  shows a representation of the fourth medication card  504  of the cardio-kit embodiment of this invention. An instruction portion  519  describing the medication  514  enclosed in the card locations  513 , the instructions for taking the mediation and the following step instructions is provided. A plurality of medication storage locations  513  is provided with the medication installed. Typically, these medication storage locations  513  are constructed as sealed plastic containers or pockets. Paper and/or foil can also be substituted, as is well known in the art without departing from the concept of this invention. The medication  514  in this card  504  of the cardio care kit embodiment is presently metoprolol.  
         [0081]    [0081]FIG. 6 a  shows a representation of the first medication card  601  of the Touista-kit embodiment of this invention. A first instruction portion  602  describing the medication  604  enclosed in the card locations  603 , the instructions for taking the mediation-and the following step instructions is provided. A second instruction portion  605  specifically instructing the user/patient on the next step in the sequential administration of the medication is also provided. A plurality of medication storage locations  603  is provided with the medication installed. Typically, these medication storage locations  603  are constructed as sealed plastic containers or pockets. Paper and/or foil can also be substituted, as is well known in the art without departing from the concept of this invention. In this card  601 , which is the first card of the “tourista” embodiment of the invention the medication  604  is presently bismuth subsalicylate.  
         [0082]    [0082]FIG. 6 b  shows a representation of the second medication card  606  of the Touista-kit embodiment of this invention. A first instruction portion  607  describing the medication  609  enclosed in the card locations  608 , the instructions for taking the mediation and the following step instructions is provided. A second instruction portion  610  specifically instructing the user/patient on the next step in the sequential administration of the medication is also provided. A plurality of medication storage locations  608  is provided with the medication installed. Typically, these medication storage locations  608  are constructed as sealed plastic containers or pockets. Paper and/or foil can also be substituted, as is well known in the art without departing from the concept of this invention. The medication  609  in this second card  606  of the “tourista” embodiment is presently loperamide.  
         [0083]    [0083]FIG. 6 c  shows a representation of the third medication card  611  of the Touista-kit embodiment of this invention. A first instruction portion  612  describing the medication  614  enclosed in the card locations  613 , the instructions for taking the mediation and the following step instructions is provided. A second instruction portion  615  specifically instructing the user/patient on the next step in the sequential administration of the medication is also provided. A plurality of medication storage locations  613  is provided with the medication installed. Typically, these medication storage locations  613  are constructed as sealed plastic containers or pockets. Paper and/or foil can also be substituted, as is well known in the art without departing from the concept of this invention. The medication  614  of this third card  611  of the tourista care kit embodiment of the invention is presently ciprofloxin.  
         [0084]    [0084]FIG. 7 a  shows a section view of a third alternative embodiment  700  of the kit of this invention. A generally rectangular box with a top lid  701  is provided. Within the interior of the box a number of ridges or shelves  703   a - f  provide the vertical support for the inserted medication cards  704   a - d . The top lid  701  is secured in a closed position by placing latches  702   a,b  over protrusions  705   a,b.    
         [0085]    [0085]FIG. 7 b  shows a perspective view of the third alternative embodiment  700  of the kit container with the lid  701  open. The latches  702   a,b  are shown in an open position, as are the protrusions  705   a,b.    
         [0086]    The described embodiments are to be considered in all respects only as illustrative of the current best modes of the invention known to the inventors at the time of filing this application, and not as restrictive. Although the several embodiments shown here include specific components, drugs (medications), packages and steps, these are provided in order to show examples of the present embodiments of this invention. Rather, the specifics of these embodiments are provided to show several examples. This scope of this invention is, therefore, indicated by the appended claims rather than by the foregoing description. All devices and processes that come within the meaning and range of equivalency of the claims are to be embraced as within the scope of this patent.