snake bite

Pick the venemous species in malaysia

• Lyocodon

• Natricidae

• Enhydris

• Elapidae

• Ptyas

Dangerous or non Dangerous??

• Dangerous!!

• Non dangerous

Who Am I??

• Naja Sumatrana

• Ophiphagus Hannah

• Naja Kaouthia

• Bungarus Candidus

Those who are unfortunate to be bitten by me will suffer

• Hematoxic effect

• Neurotoxic effect

• Rhabdomyolysis Effect

• Nothing. Just kidding. Not venomous

In case of anaphylaxis induced during anti venom administration, what should be done?

• Abandon procedure all at once

• Continue as per usual

• Temporarily withhold, and resume at slower rate once anaphylatic reaction has been treated and resolved

• Treat anaphylatic reaction and resumed at usual rate

Antivenom Reactions

• Pyrogenic reaction

• Early anaphylatic reaction

• Serum sickness type reaction

• Rhabdomyolysis

Anti venom in Paediatric

• Dosage given base on weight

• Same adult dose, Same dilution

• Same adult dose, different dilution

• No antivenom given

What Am I?

• Bungarus flaviceps (red heded krait)

• Bungarus fasciatus (Banded Krait)

• Bungarus Candidus (Malayan Krait)

• Calliophis intestinalis (Banded coral)

So now you've identified me, and you need anti venom.

• 1-3 vials

  Subsequent dose 1-2 hr

• 5 vials

  Subsequent dose 1-2 hr

• 4 vials

  Subsequent dose 6 hr

• 3 vials

  Subsequent dose 6 hr

In pit viper snake bites, intra muscular injection can be given

• True

• False