Patient presents with very severe pain & sweating.
Inj. Pethidine 100mg IM/IV stat. or Inj. FORTWIN/Norphin/Morphin. (3B=4 to 7)
Inj. Local Xylocaine 2%: infiltrate at and around the site of bite. (The site of bite is identified s pinpoint puncture spot, local swaeating & edema)
Tab PRAZOPRESS 1mg. stat (Prazocin = alpha blocker = 6A-26) or Tab CIPLAR 40mg stat (Propranolol=6A-6)
-In children, Tab PRAZOPRESS 1mg x ¼ - ½ Tab or CIPLAR 10mg. Tab In most cases, where scorpion Poison is mild, this treatment is sufficient. Systemic involvement is indicated by Profuse sweating, Ice cold extremities, priapism, Hypersalivation, Vomiting, Hypertension, Tachycardia and pulmonary edema.
Observe Pulse rate, B.P. and Breathlessness, every 10 mins.
Tab PRAZOPRESS 1mg stat, ½ tab after 4 hrs, then ½ tab every 6 hrs till systemic symptoms & signs disappear, usually 24 to 48 hours. (Prazocin = 6A-26) or Tab CIPLAR 40mg 1 stat, 1 after 4hrs, then every 6 hrs.
Inj. FORTWIN 1cc IM/IV S.O.S. if pain is severe (3B-4 to 7)
I.V. Ringer’s lactate x if profuse sweating & dehydration.
if B.P. > 150/100,
Cap DEPIN 5 mg sublingual, to be repeated S.O.S. after ½ - 1 hr. (Nifedipine = 6A-13)
If Tachycardia >110/min.
-Inj. CALMPOSE 2cc IM or slow I.V. (Diazepam = 4D-3)
If breathlessness, fine basal crepts i.e. Pulmonary Edema
i.Propped up position ii.Oxygen. iii.Inj. LASIX 2-4 amps I.V. stat (frusemide = 6B-1)iv.Inj. Efcorlin 100mg I.V stat (Steroid = 9A-2,3 or 5)v.Inj. Aminophyllin 10ml + 25% glucose 10ml x slow I.V. (Bronchodilator = 5D-2)vi.In live threatening situation, with severe dyspnoea and frothing through mouth, Give sodium Nitroprusside drip till pulmonary edema is controlled. -Inj Pruside 500mg in 5ml x added to 500ml 55 dextrose x 15 droops/min x may be increased up to 40 drops/min.There is no specific antidote for scorpion poison. The magical effect of Prazocin, which gives total protection against cardiac toxitity of scorpion bite was discovered by an Indian doctor, Dr. Bavaskar from Mahad, Raigad district in Maharashtra.
