Polyvalent equine anti-viper serum Antivipmyn is a polyvalent equine anti-viper serum for the treatment of snake bite poisoning, commonly known as: Crotalus durissus durissus, Crotalus atrox, Crotalus scutulatus, Bothrops asper and Agkistrodon.
Hospitalize according to degree of intoxication: under the doctor's discretion.
Always maintain airway permeable and monitor vital signs. In case of maneuvering of A B C D.
Avoid the use of nephrotoxic antibiotics such as aminoglycosides.
Depending on the poisonous type poisonous, initiate the corresponding Faboterapia®, handling clinical picture (level of poisoning), evolution and age. Add the total of vials that correspond to the patient according to the severity rating of the poisoning.
Assessment of renal function. Strict control of liquids.
If you have a laboratory, have at least routine tests such as: Blood count, blood chemistry, coagulation times, urinalysis.
Maintain permeable venous via with Hartmann or Physiological solution.
If you have a reaction (tachycardia, hypotension, rash, pruritus, bronchospasm, etc.), suspend the antidote, assessing the differential diagnosis for poisoning by poisonous animal VS allergic reaction to the antidote.
It is not recommended to use antibiotics in a prophylactic manner, if the infection is suspected, culture of the lesion must be taken and antibiotic therapy should be started according to results.
Do not perform incisions at the site of the bite, Do not place tourniquets, Do not apply ice, Do not suction the venom from the wound, Do not do first intention fasciotomies.
Administer Tetanus Toxoid when clotting abnormalities have been corrected.
The decision to suspend Faboterapia® is based on the correction of the alterations of the coagulation and the interruption of the progression of the local tissue damage.