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    1) Snake bites are a major public health issue in Indonesia, with over 135,000 cases reported annually resulting in 50-100 deaths per year. 2) There are four main families of venomous snakes in Indonesia - Elapidae, Hydrophiidae, Viperidae, and Colubridae - which cause different symptoms like neurotoxicity, cytotoxicity, coagulopathy, and myotoxicity. 3) First aid for snake bites includes immobilizing the bitten area, applying pressure bandages, and administering antivenom as needed depending on the symptoms.

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    1) Snake bites are a major public health issue in Indonesia, with over 135,000 cases reported annually resulting in 50-100 deaths per year. 2) There are four main families of venomous snakes in Indonesia - Elapidae, Hydrophiidae, Viperidae, and Colubridae - which cause different symptoms like neurotoxicity, cytotoxicity, coagulopathy, and myotoxicity. 3) First aid for snake bites includes immobilizing the bitten area, applying pressure bandages, and administering antivenom as needed depending on the symptoms.

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    37 views24 pages

    Snake Bite

    Uploaded by

    kholishatul widad
    1) Snake bites are a major public health issue in Indonesia, with over 135,000 cases reported annually resulting in 50-100 deaths per year. 2) There are four main families of venomous snakes in Indonesia - Elapidae, Hydrophiidae, Viperidae, and Colubridae - which cause different symptoms like neurotoxicity, cytotoxicity, coagulopathy, and myotoxicity. 3) First aid for snake bites includes immobilizing the bitten area, applying pressure bandages, and administering antivenom as needed depending on the symptoms.

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    of 24

    UPDATE MANAJEMEN

    SNAKE BITE

    Kementrian Kesehatan Republik


    Indonesia
    Snakebites data
     Data : 135.000/year incidence
     mortality over 50 -100 people per year
     Cases report in ITS : 500-1000 cases
    SNAKE FAMILIES AND GENERAL VENOM EFFECTS

    Venomou
    s Snake
    families

    Elapidae Hydrophiidae Viperidae Colubridae

    Neurotoxin Cytotoxic
    Neurotoxic Myotoxic Myotoxic
    Renal toxicity Coagulopathic
    (bungarus sp),calliophis Coagulopathic
    +cytotoxic in
    cobra &
    king cobra
    +
    Tidak Berbisa

    V.appertum dan V.abrasio


    Berbisa

    Luka tusuk/V.ictum
    First Aid
    ENVENOMASI SISTEMIK ENVENOMASI LOKAL

    1. Abnormalitas hemostasis 1. Bengkak nyeri progresif melibatkan lebih dari


    Perdarahan sistemik spontan, trombositopenia separuh ekstremitas tergigit dalam 48 jam
    setelah gigitan.
    2. Neurotoksik
    Ptosis, oftamolplegia eksterna, paralisis, dll 2. Ekstensi bengkak sangat cepat

    3. Abnormalitas kardiovaskuler 3. Pembesaran KGB aliran ekstremitas tergigit


    Hipotensi, syok, aritmia jantung, EKG abnormal
    progresif

    4. Gagal ginjal
    Oliguria/anuria, peningkatan BUN SK

    5. Hemoglobin/myoglobinuria
    Urin cokelat gelap/hitam

    6. Hemolisis intravaskuler atau rabdomiolisis umum


    Sakit dan nyeri otot, hiperkalemia
    TATA LAKSANA
    • Immobilize bitten area by
    using Pressure Bandaging
    Immobilization
    • Antivenom :
    A
    2 vials SABU + 500mml
    B Normal saline 0.9% dripped
    0-80 drop permminute
    C 03 02
    hemotoxin bites
    Repeated every 6 hours. BE
    AWARE TO RE-
    ENVENOMATION SIGN!!!
    Snake antivenom in Indonesia
    Snake antivenom in Indonesia
    Snake
    Antivenom
    Monovalent Polyvalent
    TREATMENT (3)
    • Anticholinesterase drugs
    • Especially for neurotoxin envenoming
    • Should give atropine before giving the drugs to prevent physostigmine
    intoxication.
    • Physostigmine dose
    • Adult (>12 yo): 0,5-2,5 mgevery 1-3 hours up to 10 mg/24hours
    • Children ≤ 12 yo : 0.01 mg-0,04/kg
    • Should be given slowly 3-5 minutes by IV /IV/SC repeat 2-4
    hours
    • Atropin inj bradikardia
    Venom oftalmia
    20 wbct dan RPP alat penunjaang diagnose gigitan ular
    wound care snakebite
    dan rehabilitasi
    gigitan ular
    Death adder cases
    Borang gigitan dan sengatan hewan berbisa
    dan tanaman beracun
    THANK YOU

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