5 dose IM (1ml) ----> 0, 3 rd , 7 th ,14 th and 28 th days WHO - 90 th day
HDCV – 2 dose (0 and 3 rd day)
Antibodies levels checked every 6 months
Management WHO GUIDE FOR POST-EXPOSURE TREATMENT: Assess Nature of Contact or Injury and the Biting Animals TYPE OF EXPOSURE TREATMENT HEALTHY SICK/RABID Category I: Touching or feeding, licking of healthy skin w/ no open wound, no documented contact of saliva w/ mucous membrane, reliable history No treatment No treatment Category II: Nibbling of uncovered skin, superficial scratch that doesn’t break skin, licking over broken skin or healing wounds. Category I w/ unrealiable history Vaccine + observe Vaccine (full course) Category III: Single or multiple transdermal bite or scratch which penetrates skin at any location; licking of mucous membrane Vaccine + RIG + observe Vaccine + RIG + (Full course)
SNAKE BITES Characteristic Poisonous Nonpoisonous a. Shape of head triangular round b. Pit (+) (-) c. Pupils elliptical Round d. Bite marks Fang marks 2 rows of teeth e. Caudal plates Single row Double row f. Color body Red ring next to yellow (coral snakes) Alternating color
Ischemia (pain, itching, swelling & erythema) ---> blister ----> central area turns purple and peripheral becomes pale due to vasoconstriction ----> necrosis ---> replaced by eschar that separates producing ----> large ulcer that heals w/in 2 months.