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08 S P M P On Snake Bite
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Prof. Dr. Aswinikumar Surendran
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Simulated Patient Management Protocol on Snake Bite
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08 S P M P On Snake Bite
1.
2.
Eight bite marks
seen in a semicircle
3.
The snake is
killed and brought
4.
History of creature
winding round leg
5.
6.
Colubridae
7.
Hydrophidae
8.
Croatalidae
9.
10.
Neurotoxicity
11.
Cardiotoxicity
12.
Myotoxicity
13.
14.
Mechanical suction with
a rubber pump
15.
Applying a tourniquet
over a single bone
16.
Washing the wound
with soap and water.
17.
18.
Lymphangitis and lymphadenitis
19.
Vomiting and abdominal
pain
20.
Blurred vision and
slurred speech
21.
22.
Blood pressure
23.
Extent of local
reaction
24.
Jugular venous
pressure
25.
26.
Blood grouping and
cross matching
27.
Bleeding time, Clotting
time
28.
Blood & urine
for Toxicological analysis
29.
30.
20
31.
30
32.
60
33.
34.
200
35.
300
36.
400
37.
38.
Intravenous test dose
39.
Multiple intra-muscular doses
40.
Intravenous bolus dose
as slow push
41.
42.
Hydrocortisone 200mg
given as IV
43.
Desensitizing the patient
against ASV
44.
Adrenaline 1 in
1000 S/C SOS
45.
46.
Intra-cerebral bleeding
47.
Circulatory collapse
48.
Pneumonia due to
atypical bacteria.
49.
50.
Atropine 1mg IV
hourly before each Neostigmine
51.
Diazepam 5mg IM
given twice daily
52.
Frequent checking of
Single Breath Count.
53.
54.
Local administration of
long acting steroid
55.
Metronidazole 500mg IV
8hourly
56.
Injection Tetanus Toxoid
0.5ml IM
57.
58.
Surgical Debridement
59.
Fasciotomy
60.
Skin Grafting
61.
62.
It is cheap
63.
It is readily
available
64.
It is without
side effect
65.
None of the
above
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