What is the management of snake bite?

Wash the bite with soap and water. Keep the bitten area still and lower than the heart. Cover the area with a clean, cool compress or a moist dressing to ease swelling and discomfort. Monitor breathing and heart rate.

How is neurotoxic snake bite treated?

The conventional regimen for neurotoxic snake bite is to administer ASV at a dose of 100 ml every six hours till all features of envenomation resolve2. The National Snake Bite Protocol has set 200 ml ASV as the maximum dose needed to treat neurotoxic snake bite.

What is the prevention of snake bite?

Wear loose, long pants and high, thick leather or rubber boots. Shine a flashlight on your path when walking outside at night. Never handle a snake, even if you think it is dead. Recently killed snakes may still bite by reflex.

What is the first treatment for snakebite?

Lay or sit down with the bite in a neutral position of comfort. Remove rings and watches before swelling starts. Wash the bite with soap and water. Cover the bite with a clean, dry dressing.

What are 3 Do not items in the management of snake bites?

Important dos and don’ts for snake bites

• Do NOT wash the area of the bite or try to suck out the venom.
• Do NOT incise or cut the bite, or apply a high tourniquet.
• Do bandage firmly, splint and immobilise to stop the spread of venom.
• Do NOT allow the victim to walk or move their limbs.

Why atropine is given before neostigmine in snake bite?

Current recommendations include giving atropine prior to neostigmine to prevent muscarinic effects, concurrent with antivenom.

Is atropine given in snake bite?

The Indian National Snakebite Protocol recommends a single dose of intramuscular neostigmine, with atropine, in line with the diagnostic test for myasthenia gravis [24]. Although this study employed a higher dose regimen it did not improve the neuroparalytic symptoms.

How is ASV given?

ASV can be administered either by slow intravenous injection at a rate of 2 ml/min or by intravenous infusion (antivenom diluted in 5–10 ml per kilogram body weight of normal saline or D5 W and infused over 1 h).

Who snake bite protocol?

Remove anything tight from around the bitten part of the body to avoid harm if swelling occurs. Reassure the victim, as most venomous snake bites do not cause immediate death. Immobilize the person completely and transport the person to a health facility as soon as possible.

Which injection is used for snake bite?

In Snake Bite Snake Venom Antiserum Injection helps prevent any toxic effects caused by the snake venom in a person after a snake bite. It is given as an injection by a doctor or nurse and should not be self-administered.

Do and don’ts on snake bite?

Important dos and don’ts for snake bites Do NOT incise or cut the bite, or apply a high tourniquet. Cutting or incising the bite won’t help. High tourniquets are ineffective and can be fatal if released. Do bandage firmly, splint and immobilise to stop the spread of venom.

Why should we avoid tourniquet during snake bite treatment?

According to World Health Organisation use of tourniquets is contraindicated in snake bite patients as it can occlude the distal pulses and can cause ischemia, nerve injury and gangrene. The deleterious effects of tourniquet can occur within 20 minutes to 2 hours of application.

What is ASV injection?

V Asv Injection is a prescription medicine. This is a combination of four venoms that is prescribed in the treatment of snakebite. It neutralizes the venom and prevents life-threatening events.

Why neostigmine is given in snake bite?

Neostigmine and artificial respiration are used for this purpose. Neostigmine restores neuromuscular transmission if the venom-induced blockade results from a reversible interaction of its neurotoxins with the end-plate receptors. This is the mechanism of the neuromuscular blockade produced by the venom of M.

How long ASV can be given?

The normal guidelines are to administer ASV every 6 hours until coagulation has been restored.

When should you start ASV for a snake bite?

By this study we conclude that in the management of neurotoxic snake bite, administration of a high initial bolus dose of 200 ml ASV and repeated doses of 100 ml ASV every 6 hours until signs of neurological recovery, given along with neostigmine and atropine and supported by A/C mode of ventilation resulted in an …

Why don’t you tourniquet a snake bite?

DON’T apply a tourniquet. Restricting superficial blood flow does keep the venom from spreading–but that’s exactly what you don’t want to happen. Venom that stays concentrated near the bite will rapidly destroy cells; allowing it to spread will dilute the toxin and likely reduce tissue damage.

Do and don’ts when a snake bites?

Don’t apply ice on the snake bite as the ice may block blood circulation. Don’t suck the blood out with your mouth (germs in the mouth may cause infection in the bite wound) and you may be also exposing yourself to the venom. Don’t attempt to cut the wound.

Does electric shock neutralize snake venom?

Electric shocks are ineffective in treatment of lethal effects of rattlesnake envenomation in mix. Toxicon2S, 1347-1349, 1987. – Electrical shocks, even crudely delivered from `stun guns’ and gasoline engine spark plugs, have been reported to be effective in the treatment of snake bite.

How do you administer ASV?