Saturday, 22 July 2017

snake bite diagno

snake bite 

in case patient is  not sure about the aetiology of bite following point help to establish the diagnosis of snake bite 
1]there are two fang marks rarely marks may be done ..

2]in case there is inverted U shape mark .the possibility of non -poisonous snake is highly probably ..

clinical feature 

1]these depend of the nature and duration of snake bite .
2]locally there is redness swelling and bullous formation 
3]later sloughing and ulceration occur .......
4]vomiting is present 
5]patient may have signs of CNS and CVS involvement 
6]heamorrahagic tendency is there in most of the victims 
7]patient may be in site of shock

management 

iv line maintaned 
inj tetanus toxoid is also given to safeguard against tetanus 

treatment 

local application of tight bandage proximal to the site of bite well prevent the spread of poison 
2]local injection lignocain [sub    ]cut]  along with adrenaline is given.. adrenalineis not use if bite is on the fingers 
3]effected part is immersed in warm water to get relief from pain 
3]anti scorpion venom is also given 
4]for local pain and swelling applied anttihistamine cream 
5]in case there is systemic allergy reaction steroids [silucortef]100mg or adrenaline [0.3ml s.c] is given  

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