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SNAKEBITE
Dr.dr.Tri Maharani Msi SpEM (K) toxino
BIODIVERSITY OF INDONESIAN SNAKE
Wallacea
Papua New
Guinea
Sundaland
INDONESIA
Elapidae: 55
Viperidae: 21
Colubridae: 1
PICTURES OF VENOMOUS SNAKES FOUND IN PAPUA
• A. laevis (Irian
Jaya, Seram,
Tanimbar) (1)
• A. praelongus
(Seram, Tanimbar
Irian Jaya)
• A. rugosus (Irian
Jaya, Merauke) (2)
Courtesy Akrom
Trimeresurus puniceus
Courtesy Huda
SEA KRAIT AND SEA SNAKES
Tidak Berbisa
NON VENOMOUS
V APERTUM DAN
VULNUS ABRASIO
VENOMOUS
VULNUS ICTUM
First aid
TREATMENT (1)
Keep the Airway Breathing and Circulation stable
• Airway
• 02 Non Re-Breathing Mask 12 lpm
• Laryngeal Mask Airway and Endotracheal Tube (if needed)
• Suction if gargling (+), Head tilt and chin lift if snoring (+)
• Breathing
• Evaluate the respiratory rate
• Circulation
• Make iv access, give Normal Saline 0.9% (don’t forget to take some blood for laboratory checking)
• Blood pressure
• Pulse
• Oxygen saturation by using pulse oxymetri
• Blood or Fresh Frozen Plasma as indicated
TREATMENT (2)
1.menentukan species
2.menentukan antibisa (sabu) sesuai species
29
Snake Antivenom
Monovalent Polyvalent
EXAMPLES OF AVAILABLE ANTIVENOMS FOR
PAPUAN-AUSTRALIAN VENOMOUS SNAKES
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TREATMENT (3)
Neurotoksin(julian
whie,2016)
Haemotoxin system
Venom oftalmia
MITOS ,MISTIS