Snake Bites Flashcards

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1
Q

___ is only type of crotalid bite that can cause neuromuscular weakness with resp failure

A

Mojave rattlesnake (crotalus scutulatus)

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2
Q

bites can cause..

A

rhabdo with nephrotoxicity
coagulopathy
increased vascular permeability
neurotoxicity

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3
Q

rattle snakes known to cause..

A

neurotoxicity:

AMS, sz, unusual taste, oral paresthesia

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4
Q

what are snake bite DO NOTS

A

do not use pressure immobilization
tourniquets
incision
oral suction or mechanical suction devices

JUST GET TO THE ER!!!
remove any restrictive clothing to the area
keep warm, resting and calm

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5
Q

proximal spreading suggests..

A

progressing toxicity

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6
Q

what is considered a crotalinae bite?

A

rattle snake, water moccasin, copperhead

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7
Q

FabAV aka

A

crofab, protherics

definitive treatment of crotalinae

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8
Q

what is CroFab dosing based off of?

A

clinical response
first 4-6 ials
then 2 hours every 6 hours for 18 hours

if no response do another 4-6 vials

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9
Q

CroFab CI

A

papya allergy, dust mite and latex

not recommended preg or young kids

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10
Q

tx for crotalinae induced coagulopathy ..

A

antienom administration not FFP, also heparin ineffective

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11
Q

rhabdomyolysis tx

A
IV hydration NS 
treat hyper Kalemia 
hyper phosphatemia 
hypocalcemia 
ADMIT
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12
Q

if snake bite pt now has pain with movement.. start thinking what?

A

compartment syndrome

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13
Q

fasciotomy only used when difference between compartment pressure and DBP is less than…

A

30 mmHg or when clinical sx are obvious

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