Snake bites

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1. Check

    1. CBC, Na, K, U/A. Ca, BUN

    2. PT, PTT, INR, AST, ALT, ALKP, Fibrinogen, Fibrin

    3. CXR, ECG

    4. blood group, Rh

2. Anti-venom

    1. mild bite ⇒ 5-10 vials

    2. severe bite ⇒ 10-20 vials

        1. each vial diluted in 10 cc tap water then in 250 cc N/S infused in 4 hours (50 cc/hr ⇒ 124 cc/hr ⇒ 250 cc/hr)

3. Hypersensitivity and fever

    1. Amp epinephrine 0.5-1 cc or 0.01cc/kg for children IV

    2. Acetaminophen PO

4. Consider fasciotomy in case of compartment syndrome