Flashcards in Bites and stings: complications and management Deck (9)
Bees and wasps
Antihistamines and steroids; IM epinephrine if anaphylaxis develops
Supportive measures; antivenom if available. Surgical resection and skin grafts for severe necrosis
In severe cases, cranial nerve dysfunction, excessive motor activity, respiratory compromise
Supportive with benzodiazepines and analgesics; atropine for hypersalivation and respiratory distress (not to be used with foreign scorpion stings); IV scorpion-specific antibody
Antivenom is the mainstay of treatment. Elevate the affected limb above the heart. Compression bands help, but tourniquets are contraindicated. Suction and incision are dangerous and should not be done.
Dogs and cats
Amoxicillin / clavulanate for puncture wounds, bites to hands/feet, and high-risk or immunocompromised patients.
Amoxicillin / clavulanate unless very minor
Low risk of infection; not known to carry rabies
Local wound care
Bats, skunks, raccoons, ferrets, dogs, cats
If an animal displays signs of rabies, administer 1 dose of human rabies immune globulin and 4 doses of rabies vaccine over 14 days if the patient has never been vaccinated.
Previously vaccinated patients do not need immune globulin and require only 2 doses of vaccine