Snake Envenomation & Allergic Reactions Flashcards

1
Q

Allergic Reactions

A

Immune-mediated reactions

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2
Q

Snake Bite Call Screening

A
  • Time
  • Circumstance of the bite
  • Keep animal quite, go to nearest ER
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3
Q

Snake Bite “Dont’s”

A

Not recommended to
* apply tourniquet
* apply ice
* suck out the venom

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4
Q

Snake Bite

Prep Supplies

A
  • IV Catheter and Fluids
  • Antivenom
  • Analgesics
  • Tape Measure
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5
Q

Monitor with Snake Bites

A
  • Mentation
  • Vitals
  • Swelling
  • Urine Production
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6
Q

Snake Bite

Bloodwork

A
  • PCV / TP
  • Coagulation Panel
  • Platelets
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7
Q

Signs of Non-Poisonous Bite

A
  • Multi-toothed
  • Painless
  • Minimal local reaction
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8
Q

Non-Poisonous Bite

Treatment

A
  • Clip hair
  • Clean wound with antiseptic
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9
Q

Groups of Poisonous Snakes

A
  1. Pit Vipers
  2. Coral Snakes
  3. Colubrids
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10
Q

Pit Viper Bite

Severity Factors

A
  • Toxicity of symptoms
  • Volume of venom
  • Size and health of victim
  • Time between bite and treatment
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11
Q

Pit Viper

Appearance

A
  • Deep pit between eyes and nostril
  • Elliptical pupils
  • Retractable fangs
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12
Q

Pit Viper

Clinical Signs

A
  • Bleeding at puncture site
  • Pain immediately
  • Bruising on ventral surface
  • Petechia and Ecchymosis
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13
Q

Pit Vipor

Systemic Signs

A
  • Hypotension and Shock
  • Clotting issues
  • Lethargy
  • Muscle twitching / necrosis
  • Lymphangitis
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14
Q

Pit Vipor Bite Treatment

A
  • IV Fluids for hypotension and shock
  • Analgesia
  • Antivenom (antivenin)
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15
Q

Pit Vipor

Monitor BW

A

Active venom still present if:
* decreased platelets (run CBC)
* increased PT and PTT

Baseline Chemistry
* monitor kidney values (due to urine)

give more antivenin

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16
Q

Pit Vipor Bite

Monitor Urine

A

Check for hemoglobin
* myoglobin from muscle breakdown
* can lead to kidney failure

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17
Q

Coral Snake

Appearance

A
  • Fixed fangs
  • Red bands next to yellow
  • Black head
18
Q

Coral Snake Bite

Clinical Signs

A
  • Muscle tremors
  • Weakness
  • Difficuly swallowing
  • Pin point pupils
19
Q

Coral Snake Bite

Treatment

A
  • Antivenin
  • Oxygen
  • Caution for aspiration pneumonia
20
Q

Brown Recluse

Appearance

A

Violin-shaped marking on cephalothorax
* neck pointing towards abdomen

21
Q

Brown Recluse Bite

Clinical Signs

A
  • Bite starts as a “bullseye” type lesion
  • Possible hemolysis
  • Possible thrombocytopenia
22
Q

Brown Recluse Bite

Treatment

A
  • Cold compress
  • Monitor for hemolysis
  • Surgical intervention if ulcer from bite forms
23
Q

Black Widow Bite

Clinical Signs

A
  • Small puncture hole, “target” lesion
  • Minimal local reaction
24
Q

Black Widow Bite

Systemic Signs

A

Venom = neurotoxic
* regional numbness
* progressive muscle pain and restlessness
* possible seizures
* paralysis (early in cats)

25
Black Widow Bite | Treatment
* Antihistamines * Antivenin - given slowly IV * Ca Gluconate if no antivenin - given IV * Muscle relaxants
26
Buffo Toads | Secretion
When agitated, release secretions from the parotid glands on dorsum of head and neck * readily absorbed through mm and open wounds
27
Buffo Toad | Symptoms (Initial)
* Hallucinations * Cardiac issues * Neurotoxicity * Hyperemic mm * Salivating / Vomiting * Pawing at mouth
28
Buffo Toad | Symptoms (Final)
* Ataxia * Extensor rigidity * Seizure * Coma * Death
29
Buffo Toad Treatment | Before Transport
Owner should rinse mouth 5-10 times
30
Buffo Toad | BW Monitor
PCV and TP * get hemoconcentrated quickly
31
Buffo Toad Treatment
* Valium first - for seizures * Intralipids * Anesthesia to control seizures and rinse mouth more
32
Allergic Reactions | Screening Calls
* Recent vaccine * Bumps / Hives on body * Face / Lips / Eyelids swollen * Vomiting * Itchy * Collapse
33
Allergic Reaction | Prep Supplies
* IV Fluids * Injectable antihistamines and steriods
34
Allergic Reaction / Anaphylactic Shock | Signs
* Restlessness * Diarrhea * Vomiting * Circulatory collapse * Seizures * Coma
35
Allergic Reaction | Treatment
* Epinephrine - IV for severe, SQ for mild * Oxygen once airway clear * IV fluids (LRS) * Antihistamine given IM
36
Types of Immune Mediated Diseases
4 Different Classifications * higher number (4) is more "intense" disease
37
Type 1 | Immune Mediated Disease
Anaphylaxis - seen with vaccine reactions and bug bites/stings * release of histamines and other vasoactive substances
38
Type 1 Symptoms | Vasodilation
* increased HR * decreased BP * potential to cause shock | this is Distributive Shock
39
Type 1 Symptoms | Increased Capillary Permeability
* mostly in skin * appears as hives
40
Type 1 Symtoms | Smooth Muslce Contractions
* Lungs = collapse / difficult breathing * Intestines - vomiting and diarrhea