Snake bite victims are bitten by a snake or a patient who allegedly bitten by a snake.
Pathophysiology of Snake Bites
Snake venom contains toxins and enzymes derived from saliva. Can the snake is:
Result in peripheral or central nerve. Fatal because paralise striated muscles. Clinical manifestations: respiratory muscle paralysis, cardiovascular disturbed, the degree of consciousness decreased to a coma.
Is hemolytic with substance between phospholipase and other enzymes or cause coagulation by activating prothrombin. Bleeding itself as a result of lysis of red blood cells due to toxins. Clinical manifestations: the bite wound that continues to bleed, haematom on each IM injection, haematuria, haemoptysis, haematemesis, renal failure.
Rhabdomiolisis which resulted in frequent contact with mhaemotoksin. Myoglobulinuria that cause kidney damage and hyperkalemia due to damage to muscle cells.
Damage the heart muscle fibers that cause heart muscle damage.
With the release of histamine and other substances cause disruption of cardiovascular vasoaktifamin.
This substance is an active cause inflammation and necrosis in the tissue in place patukan
Including hyaluronidase as an active ingredient in the spread can.
Classification of snake bite (source: Parrish)
There are no systemic symptoms after 12 hours, minimum swelling, 1 cm diameter
2 canine bites, swelling with a diameter of 1-5 cm, no systemic signs up to 12 hours
Same with degrees I, Petechie, echimosis, severe pain within 12 hours
Same with degrees I and II, shock and respiratory distress / petechie, echimosis whole body
Very fast deteriorating
Handling of Snake Bite Victims
- Inhibit the absorption and dissemination of venom
- Could neutralize
- Treating complications
- Monitor diathese hemorhagi after 2 hours
- If there are signs laryngospasme, bronchospasme, urticaria, or hypotension give 0.5 mg IM adrenaline, 100 mg IV hidrokortisone
- If I need to do hemodialise
- When diathese hemorhagi improved, transfusion components.
- Observation of patients had at least 1 x 24 hours
Plants that can be used to treat snake bites:
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