anti snake venom indications


Do not administer North American Coral Snake Antivenin (Equine) to patients with a known history of hypersensitivity to horse serum unless the benefits outweigh the risks and appropriate management for anaphylactic reactions is readily available. ASV protocol: Anti-snake venom of 100 ml (10 vials) should be administered by intravenous route; a maximum of 20-25 vials can be used. Few doctors prefer to premedicate patients with Inj. Acute bleeding is caused by hypofibrinogenaemia which occurs due to massive consumption of fibrinogen and fibrinolysis of blood clots. The administration of adrenaline and hydrocortisone may be …

There was no reported usage of foreign antivenom or acetylcholinesterase inhibitors in this case series. Drug Safety 1997; 16(1):9-47. The existing protocols are not standardised and numerous conflicting versions exist with differing indications for antivenom administration and dosing. Artificial ventilation should be initiated by ambu bag or ventilator. 2nd Cross Dollars Colony, JP Nagar 4th Phase. Storage - Liquid: 2- 8°C Ped Emerg Care 2014; 30(4):262-5. Intravenous antibiotic, daily dressing and plastic surgery are recommended if required. Discussed here are the various steps to be followed for effective ASV administration as per specific snake species. Clin Toxicol 2013; 51(8):783-8. Adverse reactions associated with North American Coral Snake Antivenin (Equine) administration were documented in 46 (18.25%) cases. CORAL SNAKE (MICRURUS FULVIUS) IMMUNE GLOBULIN ANTIVENIN (EQUINE), ANALYSIS(0008-0423), API MANUFACTURE(0008-0423), LABEL(0008-0423), MANUFACTURE(0008-0423), PACK(0008-0423), Contents of each reconstituted vial can neutralize approximately 250 mouse (Lethal Dose) LD. (Equine) It is not known whether North American Coral Snake Antivenin (Equine) is excreted in human milk. After reconstitution each ml Snake Venom Antiserum neutralizes not less than Cobra venom (Naja naja) 0.60 mg, Common Krait venom (Bungarus caeruleus) 0.45 mg, Russell's Viper venom (Vipera russelli) 0.60 mg, Saw scaled Viper venom (Echis carinatus) 0.45 mg. Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation –.

Adrenaline 0.25 ml s/c to prevent possibility of adverse reactions.

Antivenoms are recommended only if there is significant toxicity or a high risk of toxicity. Snake antivenom is a medication made up of antibodies used to treat snake bites by venomous snakes. Total requirement of anti-snake venom correlated positively with degree of coagulation dysfunction at entry.

It is given by injection. Dosage & Administration - Please refer pack insert for further details, Presentation - Blister pack containing 3 vials of HISTOGLOB. ADR, adverse drug reaction; AV, antivenom; Avg, average; LOS, length of stay; ICU, intensive care unit. Lyophilised: Store below 25°C. Swelling. If added to reservoir bottle, mix by gentle swirling – do not shake. The bitten part should be kept below heart level and the victim should not be allowed to walk.

After a venomous snakebite, first aid to retard the progression of envenoming should be made the priority. The most common adverse reactions were hives, rash and/or welts (12%); itching (9%); shortness of breath (8%); hypotension (2%) and angioedema (1%).

Prior to lyophilization, the product contains 0.25% phenol. As the clinical signs can vary due to many factors such as type of snake, time of reporting after bite, size of snake, amount of venom injected during bite, seasonal & regional variation in venom composition etc., no accurate dosage can be recommended. Adjust the infusion rate by the severity of signs and symptoms of envenomation and tolerance of North American Coral Snake Antivenin (Equine). Injury to muscles.
The specific antivenom needed depends on the species involved.

Ventilation may be required in patients unable to lift the neck from the pillow and in cases with salivary pooling, respiratory failure, abdominal-thoracic respiration and decline in oxygen saturation.

The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. One should always rule out diabetes mellitus. Serum should be used as soon as possible after reconstitution. 2. No antivenom for these two vipers is available in India; empirical treatment with polyvalent venom can be initiated to alleviate the envenoming, Antivenom should be administered as soon as signs of systemic or severe local swelling are seen, The patient should be closely observed daily for minimum 3 to 4 days before discharge, Pressure immobilization of the bitten extremity, Prompt transport to a facility capable of providing advanced medical care (including ASV administration), Intravenous polyvalent ASV 100 mL should be administered in patient with signs of envenomation, The patients treated with antivenom should be monitored for allergic reactions. Swab the exposed surface of the rubber diaphragms of both vials with an appropriate germicide. Intravenous antibiotics can be given to overcome infection. ... Category - IMMUNOGLOBULINS & ANTI SERA Indications - Provides passive immunization against rabies. The average number of vials administered to treated patients was 3.75 (range 1 – 20 vials); the 17 patients who received repeat treatment were administered 8.3 vials, on average.
As of now Snake venom antiserum is the only specific antidote for snake envenomation and prompt administration of adequate dose of Antiserum is of paramount importance for neutralization of unbound circulating snake venom components for early response to treatment. In small children, the dose may be decreased, depending on the response to treatment. One should sit by the side of the victim for early diagnosis and treatment of anaphylaxis. (Human)) is a clear to slight opalescent sterile non-pyrogenic solution of hyper immune globulins prepared from the plasma of healthy volunteers specifically immunised against tetanus. Low blood pressure leading to shock. Subscribe to Drugs.com newsletters for the latest medication news, alerts, new drug approvals and more. ASV protocol: Anti-snake venom of 100 ml (10 vials) should be administered by intravenous route; a maximum of 20-25 vials can be used. First aid should be provided immediately; the surface-deposited venom should be removed and cleaned with cloth or cotton. It is the only specific treatment for venomous snake bites. Available for Android and iOS devices. lyophilized Antivenin (Micrurus fulvius) North American Coral Snake Antivenin (Equine) is a sterile lyophilized powder for solution for injection containing serum globulins obtained by fractionating blood from healthy horses that have been immunized with eastern coral snake (Micrurus fulvius fulvius) venom. Equirab (Equine Rabies Immunoglobulin) is a sterile non-pyrogenic solution for intra muscular administration, it contains antiviral substances obtained from the blood serum of healthy horses that have been immunized against rabies. In the US general population, the background risk of major birth defects is 2–4% and of miscarriage is 15–20% in clinically recognized pregnancies. Due to its smaller molecular size, Cobra venom is rapidly absorbed into the circulation, where it attaches reversibly to postsynaptic receptors. Neostigmine 50 μg/kg should be administered over the first hour; the dose should be halved to 25 μg/kg for the next couple of hours. INDICATIONS: For the treatment of snake bite as follows:-Polyvalent Antivenom (Bitis, Dendroaspis, Hemachatus, Naja). Coral Snake It takes 10 – 20 hours to start to improve and 24 – 30 hours for complete resolution. It is composed of antibodies and used to treat certain venomous bites and stings. Because these reactions were reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency reliably or to establish a causal relationship to drug exposure. There are no available animal data informing the North American Coral Snake Antivenin (Equine)-associated risk. This product's label may have been updated. Even though there are well-formulated snakebite treatment protocols for low resource settings, these are poorly implemented. Presence of bite marks with or without oozing of blood, blistering and change in color of skin. Before intervention by a surgeon, one should be sure that the blood is coagulable. Symptoms include rash, pruritus, joint pain, arthralgia, fever, lymphadenopathy, and malaise. Cutaneous: Eczema, urticaria, generalised skin allergies. In allergic or sensitive patients, it is better to inject the Anti-Snake Venom Serum under cover of anti-histamines and hydrocortisone (100 mg.) intramuscularly 15 to 30 minutes before the administration of Anti-Snake Venom Serum. Allow room air to be pulled into the North American Coral Snake Antivenin (Equine) vial until all vacuum is released. If needed as judged by CT, subsequent dose of ASV in patients having stil … One vial of antivenom is enough to neutralize the venom that can be delivered by one snake. In patients having tourniquet, it should be released slowly only after start of Snake venom antiserum administration. Venom induced coagulopathy takes time to reverse.

India in particular is considered to have a high occurrence of snakebites and associated deaths; the lack of systematic preventive measures at community and national levels are held responsible for the same. Blood pressure and ECG changes should be monitored. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Anti Snake Injection consists of an important enzyme that is obtained from venomous snakes. Pry off the small metal disc in the cap over the diaphragms of the vials of North American Coral Snake Antivenin (Equine) and remove cap from diluent vials.

North American Coral Snake Antivenin (Equine) is standardized for potency in mice in terms of its LD50 neutralizing capacity per milliliter as determined by intravenous injection of a graded series of mixtures of North American Coral Snake Antivenin (Equine) with M. f. fulvius venom. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for North American Coral Snake Antivenin (Equine) and any potential adverse effects on the breastfed child from North American Coral Snake Antivenin (Equine) or from the underlying maternal condition. Severe hypotension may require the administration of heavy doses of intravenous methyl-prednisolone and correction of electrolytes. 1.Respiratory system: Allergic rhinitis; hay fever, bronchial asthma; asthmatic bronchitis, chronic bronchitis; spasmodic tracheitis. Antivenin North American Coral Snake Antivenin (Equine) is a sterile lyophilized powder for solution for injection containing serum globulins obtained by fractionating blood from healthy horses that have been immunized with eastern coral snake (Micrurus fulvius fulvius) venom. Other measures to take The affected part should be kept below heart level and the victim should not be allowed to walk or run.

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