Largely Supportive Care
Pain Control
Local anesthetic infiltration at site of the bite is effective in 95% of cases
Opioids are discouraged as they may potentiate respiratory depression in severe envenomation
Antivenom
Polyvalent and Monovalent formulations available
Skin testing and antihistamine prophylaxis recommended prior to use
1-5 vials given IV or IM
Clinical response judged by relief of pain or resolution of priapism
Pain Control
Local anesthetic infiltration at site of the bite is effective in 95% of cases
Opioids are discouraged as they may potentiate respiratory depression in severe envenomation
Local anesthetic infiltration at site of the bite is effective in 95% of cases
Opioids are discouraged as they may potentiate respiratory depression in severe envenomation
Polyvalent and Monovalent formulations available
Skin testing and antihistamine prophylaxis recommended prior to use
1-5 vials given IV or IM
Clinical response judged by relief of pain or resolution of priapism
Skin testing and antihistamine prophylaxis recommended prior to use
1-5 vials given IV or IM
Armed spider bite
Hymenoptera stings 
Octopus bite
Mammalian bites
Shark bite
Closed fist infection 
Funnel-web spider bite
Dog bite