What is included in long-term monitoring following treatment of scorpion envenomation?

Updated: Nov 09, 2018
  • Author: David Cheng, MD; Chief Editor: Joe Alcock, MD, MS  more...
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Patients displaying local nonascending reactions to the venom may be discharged after 6 hours of observation, with close follow-up. If the patient was treated with a pressure bandage, the symptoms may be delayed and inpatient observation is warranted. Patients with grade I or grade II Centruroides envenomations may be discharged. Discharge of patients with other Buthidae envenomations is more problematic because onset of systemic symptoms may be delayed up to 24 hours.

If an antivenin is administered, monitor the patient for serum sickness over next the few weeks.

Inform the patient about the possibility of persistent pain or paresthesia at the sting site.

Instruct patient regarding progression. Discuss symptoms of delayed serum sickness with patients treated with antivenom.

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