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Snake bite

 Admit the pt, Reassurance of a snakebite victim, Anxiety state increases


venom absorption, Pass IV line, Monitor the vital signs for 24 hour
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Anti snake venom infusion, 4 ampule in 500l Clopidogrel , watch the
pt for adverse reaction. Do not perform sensitivity test as it poorly
predicts anaphylactic reactions.
Infusion R/L – 1 L IV BD
Treat with antibiotic if there s any infection in bite sit or if the wound
looks contaminated or necrosed.
Tab danzen forte (Serrapeptase ) 1 tab PO OD f there s swelling
Tab digesic forte (Dextropropoxyphene +paracetamole) SOS for pain
and fever
Infusion omeprazole (PPI) diluted in 100m of normal saline or
dextrose water OD or Cap omeprazole 20mg OD-——to prevent
stress ulcer
Fasciotomy may be considered if the swelling increasing and there s
risk of Compartment syndrome (call to orthopedic department for
expert opinion if swelling increasing)
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 Investigation: FBC, PT/APPT, CT, BT, Urine R/E, ALT/SGPT
 If PT/APT/INR is deranged then arrange fresh frozen plasma
 Injection Vit-k IV.0D for 3 day
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 No I/M injection, No NSAID for one week

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