A pre-hospital team is treating a patient who has been bitten by an adder and is developing systemic envenomation with vomiting, abdominal pain, tachy...

Question

A pre-hospital team is treating a patient who has been bitten by an adder and is developing systemic envenomation with vomiting, abdominal pain, tachycardia, and hypotension. What initial IV fluid resuscitation strategy is appropriate while transferring to hospital for antivenom?

Accepted Answer

IV crystalloid boluses (250-500 mL 0.9% saline) titrated to clinical response - adder envenomation causes increased capillary permeability and distributive shock

Answer

Aggressive fluid resuscitation with 2 litres immediately

Answer

IV adrenaline infusion immediately

Answer

Colloid fluids only

Answer

No IV fluids - wait for antivenom

uk-dipimc MCQ (SBA): Adder Envenomation - Fluid Resuscitation

A pre-hospital team is treating a patient who has been bitten by an adder and is developing systemic envenomation with vomiting, abdominal pain, tachycardia, and hypotension. What initial IV fluid resuscitation strategy is appropriate while transferring to hospital for antivenom?