Page 405 - 2021 IDMT Digital

GILA MONSTER AND BEADED LIZARD BITES
Introduction:
• %LWHV XVXDOO\ RFFXU IURP DWWHPSWLQJ WR LQWHUDFW ZLWK WKH OL]DUG OL]DUG FODPSV GRZQ ZLWK
VWURQJ MDZV DQG LV GLIILFXOW WR UHPRYH
• &KHZLQJ DFWLRQ LQVWLOOV SRLVRQ LQ WKH ZRXQG
Subjective:
• 6LJQV DQG 6\PSWRPV
o 6HYHUH SDLQ EXUQLQJ DQG SURJUHVVLYH HGHPD IURP WKH ELWH
o 1DXVHD YRPLWLQJ VZHDWLQJ GL]]LQHVV WLQJOLQJ QXPEQHVV
o 6KRUWQHVV RI EUHDWK
Objective:
• 3K\VLFDO ([DP
o /L]DUG PD\ VWLOO EH DWWDFKHG ± UHPRYH E\ VXEPHUJLQJ LQ UXQQLQJ KRW ZDWHU
o 'LDSKRUHVLV WDFK\FDUGLD K\SRWHQVLRQ
o 6LJQLILFDQW ORFDO WLVVXH WUDXPD
o &\DQRVLV HFFK\PRVLV DW ELWH VLWH
Assessment:
• 'LIIHUHQWLDO
o 1RQ YHQRPRXV OL]DUG ELWH
o 9HQRPRXV ELWH IURP DQLPDO RWKHU WKDQ D OL]DUG
Plan:
• 3UHSDUH IRU LPPHGLDWH (9$& RU WUDQVIHU IRU DQWLWR[LQ
• .HHS SDWLHQW FDOP DQG LPPRELOH DQG DSSO\ GLUHFW SUHVVXUH WR ZRXQG
• ,PPRELOL]H LQMXUHG DUHD
• 3URYLGH OLIH VXSSRUW LI QHHGHG DLUZD\ EUHDWKLQJ 2 FLUFXODWLRQ
• 2EWDLQ ,9 DFFHVV HDUO\ LQ XQDIIHFWHG OLPE
• ,I SDWLHQW LV K\SRWHQVLYH JLYH FU\VWDOORLG VXFK DV /DFWDWHG 5LQJHU¶V OLWHUV EROXV WKHQ
PDLQWHQDQFH DW FF KRXU
• 0RQLWRU DLUZD\ IRU DQDSK\OD[LV
Patient Education:
• .QRZ WR[LF UHSWLOHV LQ \RXU DUHD DYDLODELOLW\ RI DQWLWR[LQ DQG FUHDWXUH VSHFLILF WUHDWPHQWV
SULRU WR GHSOR\PHQW
• :HDU ORQJ SDQWV DQG ERRWV ZKHQ KLNLQJ RU ZRUNLQJ RXWGRRUV
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP

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