Thursday, July 26, 2007

medical management of a snake bite

Management
  • Little management is required around the wound. If necrosis occurs antibiotics may be used.
  • Hypotension is treated with IV fluids
  • Anxiety is treated with diazepan.
  • treatment of other cardiac and renal symptons is necesary
  • Antivenom's should be used with caution because they invoke allergic reactions in some people.

Anaphylaxis:
Features:
  • bronchospasm (constriction of muscles in the bronchials, lungs.)
  • Facial and laryngeal oedema (swelling)
  • Hypotension
  • Nausea, vomiting and diarrhoea
Management
  • lie patient flat with feet raised
  • free airway
  • give oxygen
  • monitor BP - give 1-2l of IV fluid if needed
  • introduce adrenaline(.5mg, repeat every 5 minutes), antihistamine (10-20mg) via IV

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