Practice Guideline for Management of Patients with Snake Bite
Ref. http://www.imrta.dms.moph.go.th/imrta/images/pdf_cpg/2547/18.pdfPtosis
Dysphagia
Peak flow < 200 L/min
Respiratory muscle fatique
Paralysis
Onset : < 16 hours (mean 5 hours)
Post-synaptic block
Local inflammation
Tissue necrosis
Systemic bleeding
VCT > 30 mins (20 mins for Russell) or INR > 1.2
Platelet < 50,000 /mm3 ; WHO 2010 : < 100,000 cell/mm3
compartment syndrome
แผลบวมน้อย
ไตวาย
DIC
pressure-immobilization
Intensive supportive care
monitoring of renal, metabolic, and respiratory
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