Box Jellyfish Antivenom

Question 1

Box Jellyfish Antivenom
Indications
(5)

Answer 1

Box Jellyfish envenomation with any of the following;
- cardiac arrest
- decreased level of consciousness
- cardiac AND/OR respiratory distress
- total surface area over half of affected limb
- pain unresponsive to narcotic analgesia or ice packs

Question 2

Box Jellyfish Antivenom
Contraindications
(1)

Answer 2

• allergy or adverse drug reaction

Question 3

Box Jellyfish Antivenom
Precaution
(1)

Answer 3

• antivenom is foreign protein, can cause sensitisation, allergic reaction or anaphylaxis

Question 4

Box Jellyfish Antivenom
Presentation

Answer 4

ampoule, 20’000 units/1.5-4mL box antivenom

Question 5

Box Jellyfish Antivenom
Cardiac Arrest
Adult Dose
IV

Answer 5

20’000 units (slow push 2-5mins)
rpt. immediately 2 times max
max dose 60’000

Question 6

Box Jellyfish Antivenom
Cardiac Arrest
Paediatric Dose
IV

Answer 6

20’000 units (slow push 2-5mins)
rpt. immediately 2 times max
max dose 60’000

Question 7

Box Jellyfish Antivenom
Nil Cardiac Arrest
Adult Dose
IM

Answer 7

60’000 units
single dose only

Question 8

Box Jellyfish Antivenom
Nil Cardiac Arrest
Paediatric Dose
IM

Answer 8

60’000 units
single dose only

Question 9

Box Jellyfish Antivenom
Nil Cardiac Arrest
Paediatric Dose
IV INF

Answer 9

20’000 units (infuse over 20mins)
single dose only
administer via SPRINGFUSOR

Question 10

Box Jellyfish Antivenom
IV Syringe Prep
SPRINGFUSOR

Answer 10

• mix 20’000 units with sodium chloride 0.9% in a 30mL springfusor syringe
• final concentration of 20’000 units/20mL
• administered at rate of 60mL/hour (20mins)

Question 11

Box Jellyfish Antivenom
IV Syringe Prep

Answer 11

• mix 20’000 units with 20mL sodium chloride 0.9%
• final concentration of 20’000 units/20mL