HOSPITAL TREATMENT
It is always difficult to distinguish venomous and non-venomous snake bite, the patient with the history of any snake bite should be admitted in the hospital for observation. Airway breathing and circulation should be stabilized in hospital if needed. The patients vital sign, oxygen saturation, urine output should be closely monitored. After taking the history a quick and through physical examination should be performed. IV access in one or both unaffected limb should be established. Isotonic saline should be initiated as fluid resuscitation if there is any evidence of hemodynamic instability. If it’s possible the snake should be identified. The required investigation should be done and features of systemic or local envenoming …show more content…
Traditionally, production of antivenoms have focused on four species believed to be responsible for most deaths: Naja naja, Bungarus caeruleus, Daboia russelii, and Echis carinatus. However, a number of other species that contribute to envenoming in the region have not been considered, and envenoming by these species usually does not respond adequately to existing antivenoms. The goal of antivenom administration is to allow antibodies to bind up circulating venom components before they can attach to target tissues and cause deleterious effects. Antivenom treatment should begin as soon as the need for it is identified to limit further tissue damage and systemic effects. Worldwide, the quality of antivenom is highly variable. Epinephrine should always be available to treat anaphylactic reaction due to antivenom. Antivenom infusion should be started slowly, with the physician at the bedside during the initial period to intervene immediately at the first sign of an acute reaction (which may be heralded by a single hive or mild itching or may present as bronchospasm or acute cardiovascular collapse). The rate of infusion can be increased gradually in the absence of a reaction until the full starting dose has been administered
It is always difficult to distinguish venomous and non-venomous snake bite, the patient with the history of any snake bite should be admitted in the hospital for observation. Airway breathing and circulation should be stabilized in hospital if needed. The patients vital sign, oxygen saturation, urine output should be closely monitored. After taking the history a quick and through physical examination should be performed. IV access in one or both unaffected limb should be established. Isotonic saline should be initiated as fluid resuscitation if there is any evidence of hemodynamic instability. If it’s possible the snake should be identified. The required investigation should be done and features of systemic or local envenoming …show more content…
Traditionally, production of antivenoms have focused on four species believed to be responsible for most deaths: Naja naja, Bungarus caeruleus, Daboia russelii, and Echis carinatus. However, a number of other species that contribute to envenoming in the region have not been considered, and envenoming by these species usually does not respond adequately to existing antivenoms. The goal of antivenom administration is to allow antibodies to bind up circulating venom components before they can attach to target tissues and cause deleterious effects. Antivenom treatment should begin as soon as the need for it is identified to limit further tissue damage and systemic effects. Worldwide, the quality of antivenom is highly variable. Epinephrine should always be available to treat anaphylactic reaction due to antivenom. Antivenom infusion should be started slowly, with the physician at the bedside during the initial period to intervene immediately at the first sign of an acute reaction (which may be heralded by a single hive or mild itching or may present as bronchospasm or acute cardiovascular collapse). The rate of infusion can be increased gradually in the absence of a reaction until the full starting dose has been administered