Snake bite
Neurotoxin
Indication for antivenom
- Ptosis
- Dysphagia
- Peak flow < 200 L/min
- Respiratory muscle fatique
- Paralysis
- Onset : < 16 hours (mean 5 hours)
- Post-synaptic block
- Post-synaptic block
- Local inflammation
- Tissue necrosis
Geppl
ed,kl;fmsvc;aowmfdsGeppl
ed,kl;fmsvc;aowmfds- Post-synaptic block
Hematoxin
Indication for antivenom
- Systemic bleeding
- VCT > 30 mins (20 mins for Russell) or INR > 1.2
- Platelet < 50,000 /mm3 ; WHO 2010 : < 100,000 cell/mm3
- compartment syndrome
- แผลบวมน้อย
- ไตวาย
- DIC
Myotoxin
Symptom
- pressure-immobilization
- Intensive supportive care
- monitoring of renal, metabolic, and respiratory
- อาการเด่น : ปวดกล้ามเนื้อ