TREATMENT

_LOCAL FIRST AID:_

1. Apply ice packs

2. Apply tourniquet if possible and as near sting site as possible.

Loosen briefly every 10-15 minutes

WARNING: Do _not_ use morphine or opiates since they increase

toxic effects

_SYSTEMIC:_

1. Specific antivenin available for many dangerous species;

administered early, may be lifesaving

2. Calcium gluconate—10 ml of 10% solution IV immediately and prn to

control muscle pain

3. Phenobarbital—30-60 mg orally for sedation and control of

convulsions

4. Treat for shock as necessary (Chart 1)

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