A snakebite victim was admitted and their vital signs were monitored for 24 hours. They received an infusion of 4 ampules of anti-snake venom over 500mL of fluid and were watched for adverse reactions, as sensitivity testing is unreliable. They were also given antibiotics to prevent infection, a pain reliever, and omeprazole to prevent ulcers. Blood tests were done and fresh plasma administered if coagulation was affected. The patient was told to avoid injections and NSAIDs for a week.
A snakebite victim was admitted and their vital signs were monitored for 24 hours. They received an infusion of 4 ampules of anti-snake venom over 500mL of fluid and were watched for adverse reactions, as sensitivity testing is unreliable. They were also given antibiotics to prevent infection, a pain reliever, and omeprazole to prevent ulcers. Blood tests were done and fresh plasma administered if coagulation was affected. The patient was told to avoid injections and NSAIDs for a week.
A snakebite victim was admitted and their vital signs were monitored for 24 hours. They received an infusion of 4 ampules of anti-snake venom over 500mL of fluid and were watched for adverse reactions, as sensitivity testing is unreliable. They were also given antibiotics to prevent infection, a pain reliever, and omeprazole to prevent ulcers. Blood tests were done and fresh plasma administered if coagulation was affected. The patient was told to avoid injections and NSAIDs for a week.
Admit the pt, Reassurance of a snakebite victim, Anxiety state increases
venom absorption, Pass IV line, Monitor the vital signs for 24 hour ________________________________ 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) ____________________________ 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 ____________________________ No I/M injection, No NSAID for one week
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