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April 2008, Volume 38 Number 4 , p 72 - 72


  • H. Joseph Pittman RN


Pittman, H. Joseph RN

Issue: Volume 38(4), April 2008, p 72 Publication Type: [Feature: Action STAT] Publisher: © 2008 Lippincott Williams & Wilkins, Inc. Institution(s): Poison Information Specialist • Poison Information Center Tampa, Fla.

ANXIOUS AND CLUTCHING his right hand, Andrew Lewis, 22, arrives in the ED about 10 minutes after being bitten on his right index finger by a rattlesnake while he was stacking a woodpile. He says the hand is painful and swollen, and he complains of nausea. When you assess his hand, you see a single fang mark and edema and ecchymosis extending beyond the immediate bite area, but not involving the whole hand. You escort him to a bed and take his vital signs: BP, 90/60; heart rate, 136; respirations, 28; and temperature, 98.2° F (36.8° C) orally.

What's the situation?

Mr. Lewis says the snake was about a foot long and didn't hold ...

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