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Management of Snake Bite*  *Advise* → CBC, PT, APTT, INR   _Why: Check for coagulopathy. Many snake venoms cause bleeding disorders._ *Signs & Symptoms* **Mild**	**Moderate**	**Severe** Local sign, itching, swelling, irritation	Itching, edema, irritation, swelling, temperature	Itching, edema, temp, shock *Rx - Treatment* 1. *Wash the wound*      With soap + water. _Don’t_ cut, suck, or apply tourniquet. 2. *No IM injection*      _Reason: Risk of hematoma if coagulopathy present. Use IV route only._ 3. *Inj ASV (Anti-Snake Venom)*      → 5-10 ampules _not 6 only_ — dose depends on severity & species      In 1st 1L Normal Saline      i.e. 30 drops/min, stat      _Note: Start slowly, watch for anaphylaxis. Keep adrenaline ready._ 4. *Inj: Prevenar IV × SOS*      _Likely error — Did you mean *Inj. Tetanus Toxoid IM × stat*? Prevenar is pneumococcal vaccine. Snake bite protocol = Tetanus prophylaxis if not immunized in 5 yrs._ 5. *Inj Aderone 2g IV × OD*      _Likely error — Did you mean *Inj. Adrenaline* for reaction, or *Inj. Ceftriaxone 2g IV OD* for prophylaxis? “Aderone” isn’t standard. Clarify with your instructor._ 6. *If reaction occurs from ASV then:*      Injection *Avil + Dexa IV stat*      _Standard: Inj. Pheniramine 22.75mg + Inj. Hydrocortisone 100mg IV + Inj. Adrenaline 0.5mg IM if anaphylaxis._ 7. *Monitor vitals after every 1 hour*      _Also: 20-min WBCT, limb circumference, urine output, bleeding sites._ *Key nursing points you missed:* - *DO NOT*: Ice, tourniquet, alcohol, aspirin, electroshock - *DO*: Reassure, immobilize limb below heart level, remove rings/bands, shift to hospital ASAP - *20-Minute WBCT*: Bedside clotting test. If blood doesn’t clot in 20 min = envenomation = needs ASV #NursingSchoolHacks #SnakeBiteProtocol #NCLEXPrep #NurseTok #MedSurgNursing
Management of Snake Bite* *Advise* → CBC, PT, APTT, INR _Why: Check for coagulopathy. Many snake venoms cause bleeding disorders._ *Signs & Symptoms* **Mild** **Moderate** **Severe** Local sign, itching, swelling, irritation Itching, edema, irritation, swelling, temperature Itching, edema, temp, shock *Rx - Treatment* 1. *Wash the wound* With soap + water. _Don’t_ cut, suck, or apply tourniquet. 2. *No IM injection* _Reason: Risk of hematoma if coagulopathy present. Use IV route only._ 3. *Inj ASV (Anti-Snake Venom)* → 5-10 ampules _not 6 only_ — dose depends on severity & species In 1st 1L Normal Saline i.e. 30 drops/min, stat _Note: Start slowly, watch for anaphylaxis. Keep adrenaline ready._ 4. *Inj: Prevenar IV × SOS* _Likely error — Did you mean *Inj. Tetanus Toxoid IM × stat*? Prevenar is pneumococcal vaccine. Snake bite protocol = Tetanus prophylaxis if not immunized in 5 yrs._ 5. *Inj Aderone 2g IV × OD* _Likely error — Did you mean *Inj. Adrenaline* for reaction, or *Inj. Ceftriaxone 2g IV OD* for prophylaxis? “Aderone” isn’t standard. Clarify with your instructor._ 6. *If reaction occurs from ASV then:* Injection *Avil + Dexa IV stat* _Standard: Inj. Pheniramine 22.75mg + Inj. Hydrocortisone 100mg IV + Inj. Adrenaline 0.5mg IM if anaphylaxis._ 7. *Monitor vitals after every 1 hour* _Also: 20-min WBCT, limb circumference, urine output, bleeding sites._ *Key nursing points you missed:* - *DO NOT*: Ice, tourniquet, alcohol, aspirin, electroshock - *DO*: Reassure, immobilize limb below heart level, remove rings/bands, shift to hospital ASAP - *20-Minute WBCT*: Bedside clotting test. If blood doesn’t clot in 20 min = envenomation = needs ASV #NursingSchoolHacks #SnakeBiteProtocol #NCLEXPrep #NurseTok #MedSurgNursing

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