Snake Bites

Question 1

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

Answer 1

Mojave rattlesnake (crotalus scutulatus)

Question 2

bites can cause..

Answer 2

rhabdo with nephrotoxicity
coagulopathy
increased vascular permeability
neurotoxicity

Question 3

rattle snakes known to cause..

Answer 3

neurotoxicity:

AMS, sz, unusual taste, oral paresthesia

Question 4

what are snake bite DO NOTS

Answer 4

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

Question 5

proximal spreading suggests..

Answer 5

progressing toxicity

Question 6

what is considered a crotalinae bite?

Answer 6

rattle snake, water moccasin, copperhead

Question 7

FabAV aka

Answer 7

crofab, protherics

definitive treatment of crotalinae

Question 8

what is CroFab dosing based off of?

Answer 8

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

if no response do another 4-6 vials

Question 9

CroFab CI

Answer 9

papya allergy, dust mite and latex

not recommended preg or young kids

Question 10

tx for crotalinae induced coagulopathy ..

Answer 10

antienom administration not FFP, also heparin ineffective

Question 11

rhabdomyolysis tx

Answer 11

IV hydration NS 
treat hyper Kalemia 
hyper phosphatemia 
hypocalcemia 
ADMIT

Question 12

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

Answer 12

compartment syndrome

Question 13

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

Answer 13

30 mmHg or when clinical sx are obvious