Coral Snake Envenomation: A Patient Case


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A slideshow about a coral snake envenomation patient and how he was treated, with a little bit of background information thrown in as well. Presented to pharmacy staff at Yale-New Haven Hospital in January 2010.

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  • Coral Snake Envenomation: A Patient Case

    1. 1. Coral Snake Envenomation: A Patient Case Chilla E. Göncz, PharmD Candidate
    2. 2. Objectives Discuss a case of coral snake envenomation Explain the process that occurs with coral snake envenomation Describe treatment strategies of coral snake envenomation, focusing on antivenin
    3. 3. Jack was bitten by a C o r a l Snake
    4. 4. Milk snakes can easily be confused with coral snakes Milk snake Coral Snake
    5. 5. What exactly happens when a coral snake bites?
    6. 6. Patient Assessment • ABCs • Vital signs • O2 with Pulse Ox • NS (or LR) • Respiratory status • Cardiac monitoring • Neurological status
    7. 7. Treatment methods focus on antivenin (antibiotics and symptomatic treatments have been used too)
    8. 8. How did we treat Jack?
    9. 9. [ Jack had a rapid, full recovery ]
    10. 10. Patient Counseling
    11. 11. Staying away from snakes and wearing high boots can help you avoid being bitten
    12. 12. So what should I do if I am bitten by a snake?
    13. 13. Your first reaction may be to panic and be in knots with fear
    14. 14. But, this will only make things worse.
    15. 15. Calm down. (this can slow down the spread of venom)
    16. 16. Some bright ideas if you get bitten: • Remember: color and shape of the snake • Seek medical attention ASAP • Apply first aid if you cannot get to a hospital immediately
    17. 17. There are also some not-so-bright ideas... (like slashing the wound with a knife or trying to suck out the venom)
    18. 18. Remember... Red on yellow, kill a fellow Red on black, friend of Jack
    19. 19. Clinical Pearls
    20. 20. References Coral Snakes. In: POISINDEX System [Internet database]. Greenwood Village, CO: Thomson Reuters (Healthcare) Inc. Updated periodically. Gold BS, Dart RC, Barish RA. Bites of Venomous Snakes. N Engl J Med. 2002 Aug 1;347(5):347-56. Kiran S, Senthilnathan TA. Management of Snake Envenomation. Updat Anaesth. 2002 Aug 1;347(5):347-56. MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); [updated 2009 December 18]. Snake bite; [about 5 p.]. Available from: North American Coral Snake Antivenin. In: Lexi-Drugs [database for PDA]. Version 1.5.1(116). Hudson (OH): Lexi- Comp, Inc. c2009 [updated 2009 Jan 15; cited 2009 Jan 15]. Available from Weinstein S, Dart R, Staples A, White J. Envenomations: an overview of clinical toxicology for the primary care physician. Am Fam Physician. 2009 Oct 15;80(8):793-802.
    21. 21. Photo Credits Christopher Gillette: Medscape: Mikael Haggstrom: Annaksunamoon: