Thursday, September 9, 2010

Snake bites

Saurabh Saxena a labrador 4 yrs ,came at 2 in night with history of snake bite at 4 in afternoon.the dog is recombant and clear marks of snake bite on lips.eyes sunken movemen,no control on neck movement.given i.v. NS,RL,predni,tono,otc .given a snick on lips and drained sum blood.the dog is out of danger but is totally recombant,seems like a paralytic stroke,due to neurotoxin in snake bite.what more can be done.given blood sample for cbc sgot,sgpt,bun ,crea. any ideas?its a first case of snake bite for me..

18 July at 06:01 · · · Flag
    • Joseph Cyrus antisnake venom mutiple vilas asap
      18 July at 06:50 ·
    • Nassem N. Naimi
      Blood draning from the bite area is not good at all it wil lincrease blood flow to the area which will fasten venom movement.
      Antivenom is good also keep observing respiration as it is the main cause of death paralysis will disappear soon max in 72 hour (I guess)
      18 July at 12:13 ·
    • Swarupmay Majumdar u r doing everything fine, need venom and some more symtomivc care a few days
      18 July at 16:52 ·
    • Nassem N. Naimi Dr. Saurabh I just posted a Topic on discussion board about Snake bites ;) it is very General but I will try to update it with reference to the source ;)
      18 July at 23:15 · · 1 person
    • Saurabh Saxena thanks nassem,this topic is very timely .

      update-the dog was put to sleep on the request of owner at different clinic.i am trying to arrange for blood report of the bitten dog as it might help all of us.
      19 July at 05:38 ·
    • Sreekumar Chirukandoth Where is the dog from,rural area or from the metropolis? How are you sure it is a snake bite wound? Neurotoxins act on hypothalamus and cause respiratory paralysis and DO NOT cause paralytic stroke.
      19 July at 15:30 · · 2 people
    • Saurabh Saxena dog was from rural area only.my snake bite knw is very limited as it was first experience for me .pls shed more light on the topic and also ways to treat the pet especially if anti snake venom is not available.thanks
      19 July at 16:24 ·
    • Saurabh Saxena workers saw the snake attacking dog and killed the snake at that point but were really foolish to not tell their owners abt it only when owner returnrd late in night ,he found out and bring him to us
      19 July at 16:26 ·
    • Nassem N. Naimi
      If antisnake Venom is not Available then you should go to supportive
      you said now it is neurotoxin but snakes may have multiple venoms sametime
      so make sure that this is the whole issue.
      In human Medicine if they got a neurotoxin they will put the patient on respiratory support as the only thing to be scared about is Respiratory muscle paralysis :).
      fluid therapy is indicated by some Vet's but not alll, I am not sure but maybe Lazix may be useful (hypothetically) as you increase the excretion by urine!
      19 July at 16:28 ·
    • Premal Darji blood report dos not help much..increased liver enzymes will b seen
      19 July at 16:46 ·
    • Nassem N. Naimi hmm Blood count I mean to make sure there is no Hematotoxic Venom !!
      that should be done early in the case not for now!!
      19 July at 17:14 ·

Swarupmay Majumdar How do I treat a case of Snake bite?? can any one elaborate?? need lots of discussions

02 June at 09:46 · · · Flag
    • Sumit Virmani
      This is what the merck's manual says:
      Venomous snakes fall into 2 classes: 1) the elapines, which include the cobra, mamba, and coral snakes; and 2) the 2 families of viperines, the true vipers and the pit vipers.
      The venom of elapines is ne...See more
      02 June at 11:46 ·
    • Swarupmay Majumdar thanks, but want some other things than from books.lolz
      02 June at 12:21 ·
    • Sumit Virmani ‎:) :)
      02 June at 12:42 ·
    • Philip Paul Mshelbwala It involves controlling shock, neutralizing the venom, controlling intravascular coagulation, minimizing tissue death, and preventing any secondary infection. Therefore, veterinarians may need to use antivenin, antiinflammatory drugs, antibiotics, fluid therapy
      02 June at 13:13 ·
    • Swarupmay Majumdar no steroids plz !
      02 June at 13:33 ·
    • Nassem N. Naimi
      ‎1) Tourniquet for the highest joint (shoulder or hip) to control venom spread.
      2) try to know the snake type and the venom effect, if hemolytic then fluid therapy and blood transfusion if anticoagulant then you then use Vitamin K and Vasoco...See more
      02 June at 16:03 ·
    • Sreekumar Chirukandoth
      Snake bite in animals is an enigma. Quite simply, 'street smart' animals (cats, street dogs etc.) almost never get bitten. Exceptions are there...especially dogs (toy breeds and 'lap'dogs). In my opinion, many cases are just hunches, as the...See more
      03 June at 19:26 ·
    • Nassem N. Naimi
      Hemotoxic venom is always suspected which will cause loose of blood. as causes of death in snake bites are excessive blood loose or/and paralysis or respiratory muscle/ DIC caused by coagulation venom.

      blood transfusion will dilute the venom...See more
      03 June at 19:37 ·
    • Sreekumar Chirukandoth
      I beg to differ...hameotoxin causes clotting disorders including DIC (as u have rightly mentioned) and not blood loss.This causes death, rather than blood loss. Oligaemia is rarely a cause of death in snake bites.Transfusion can never dilut...See more
      04 June at 08:31 ·
    • Nassem N. Naimi
      I just reviewed a book about snake venom there is a snake venom called cytolycine which may cause hemolysis. but not in a very significant quantity, so blood transfusion maynot be important but still I think Dilution can be effective so pla...See more
      04 June at 09:35 ·
    • Swarupmay Majumdar ‎@dr Srikumar: I saw ur postings on Orkut on snake bite, many of the mebers will be benefittted by ur suggestion.Thanks for joinig us.
      04 June at 19:10 ·
    • Mahalingam Muralithas
      It is best, if we identify the of snake(Viper/cobra/etc). then we should go for an aggressive treatment schedule.
      if we identified the snake we can go for a specific antivenam
      if not
      # at very first, start fluid treatment at very fast rate wit...See more
      06 June at 17:38 ·
    • Joseph Cyrus
      Honestly its not easy to treat. We have the same dogs coming in year afte year with the same viper bite and touch wood they are still alive. I believe antivenom. some homeopathy, constat monitoring of kidney function and DIC in viper biotes...See more
      07 June at 17:30 ·
    • Museed Anwer is fast administering of fluids advisable with anti venom ?
      08 June at 14:44 ·
    • Sreekumar Chirukandoth Joseph Cyrus...same dogs coming year after year? Could u please explain?
      08 June at 17:39 ·
    • Mahalingam Muralithas yes. with the antihistamine, the antivenam must give very fast IV
      08 June at 20:32 ·
    • Sreekumar Chirukandoth Mahalingam....the standard procedure is to give the antivenin as a 'slow' infusion. It is not advisable to administer a protein (especially immunoglobulin) rapidly. Shock and death simply due to antivenin have been reported.
      09 June at 11:19 ·
    • Joseph Cyrus We have probably 10 plus cases of the same dogs coming in season after season with multiple fatal bites. touch would most have survived so far. i think its the season now
      09 June at 15:52 ·

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