SNAKE BITE

SNAKE BITE

1)Identify the bite marks and mention whether present or absent. But bite marks not present does imply that the treatment should proceed as a non poisonous snake bite.
2)Tourniquet and incisions at the bite site are useless
3)Immobilize the affected limb
4)Assess for signs of envenomation; local reaction which include limb pain, swelling, edema. systemic envenomation signs include nausea, vomiting, shock (e.g., tachypnea, tachycardia, dry pale skin, mental status changes, hypotension), generalized petechiae, ecchymosis, blood-tinged sputum.
5)Inj. Tetanus Toxoid 1 amp IM stat.
6)Clotting time every half hour
7)If clotting time is prolonged initiate anti snake venom after premedication.
8)Inj. Anti Snake Venom 20 ml IV infusion.
9)Inj. Rantac 1 amp IV stat.

10) & 11) are for premedication
10)Inj. Avil 1 amp IM stat.
11)Inj. Dexona 1 amp IV stat.

12)Watch for signs of allergic reaction.
13)Repeat ASV if clotting time is still prolonged or if signs of serious envenomation present. ( Inj ASV 5 -10 ml iv infusion repeat if required)
14)BP/PR monitoring
15)Inj. Tramadol 1 amp IV stat or SOS if pain of limb present
16)RFT, PT, APTT, Platelet count.
17)In case of allergic reaction
a)Inj. Avil 1 amp IV stat.
b)Inj. Efcorlin 1 amp IV stat.
c)Inj. Dexona 1 amp IV stat.

Snake Bite treatment Protocol