0 Management of scorpion bite cases?

Management of scorpion bite cases?

v  Scorpions are of different types in the world varying in their colours and poisons.

v  In India two types are poisonous snakes are present.

v  Red scorpion also called mesobuthus.

v  Black scorpion also known as palamnaeus.

Clinical features

v  Features usually develop about 2 to 12 hours after sting.

Local features

v  Intence pain at the site.

v  Pain may be elicited by gentle palpation or tapping.

v  Pain and numbness may extend upto the extremity.

General or systemic features

v  Patient may become or feel restlessness, anxiety, vomiting, and dysphagia, Bradycardia, salivation and sweating.

v  Sensation of tongue thickening.

v  Heart rate may be reduced.

v  Hypotension and priapism may occur.

v  Subsequently after the initial features, the patient may develop hypertension, increased heart rate, hands and feet become cold, chest discomfort and heart attack may occur.

v  Late stages may develop hypotension and shock.

Management :

v  Analgesics like paracetamol or ibuprofen may be given.

v  T.T vaccine should be provided if patient is not immunized.

v  Heart rate, cardiac disturbances and oxygen saturation be monitored.

v  Intubation may be required if patient shows signs of respiratory failure.

v  Avoid large fluid administration.

v  Prazosin is given to control hypotension.it is also an antidote for scorpion bite.

v  Alternatively nifedipin may be given. But should be avoided in presence of tachycardia.

v  Dopamine may also be given for hypotension.

v  Glucose –insulin administration may be helpful in systemic poisoning.

Note:

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