What is included in inpatient care of patients with scorpion envenomation?

Updated: Nov 09, 2018
  • Author: David Cheng, MD; Chief Editor: Joe Alcock, MD, MS  more...
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Answer

Inpatient care is dictated by the severity of the envenomation and consists of stabilizing the patient, neutralizing the venom, providing supportive therapies, and preventing complications. Patients with grade III or grade IV Centruroides stings and other severe Buthidae envenomations should be admitted to the intensive care unit (ICU) and/or treated with antivenom.

Treat all patients with severe systemic symptoms in an intensive care unit (ICU) setting because of the unpredictability of the symptomology, the risks associated with antivenin administration, and the need for airway or blood pressure support.

Young children do worse than adults. Young children may not recover as quickly as adults after scorpion envenomation and are more likely to require observation.


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