Box Jellyfish Antivenom

Question 1

What are the contraindications for BJA?

Answer 1

KSAR

Question 2

What are the precautions for BJA?

Answer 2

Can cause sensitisation, allergic reaction, anaphylaxis

Question 3

What are the side effects for BJA?

Answer 3

Allergic reaction incl anaphylaxis and delayed serum sickness
Intense stinging on injection.

Question 4

What is the IM dose for a pt not in cardiac arrest with BJA?

Answer 4

60,000 units, single dose only

Question 5

What is the IV dose of BJA for a pt not in cardiac arrest?

Answer 5

20,000 units over 20 min, single dose only

Question 6

What is the BJA dose for a pt in cardiac arrest?

Answer 6

20,000 units, slow push 2-5min, rpt immediately twice, max 60,000 units

Question 7

What are the BJA indications?

Answer 7

BJ Envenomations w:
Pt in cardiac arrest 
ALOC
Cardiac/resp distress
TSA affected more than half of one limb
Pain unrelieved by narcotics or ice