Administer as soon as possible following North American Pit Viper bite with signs of envenomation.
10 vials IV
May repeat with an additional 10-vial dose every hour as needed until local signs of envenomation are not progressing, systemic symptoms are resolved, and coagulation and other laboratory parameters have normalized or are trending toward normal.
4 vials IV PRN for any reemerging symptoms
There is no known maximum dose.
IV: Infuse IV over 60 minutes. Infuse at a rate of 25 to 50 mL/hour for the first 10 minutes, carefully monitoring for any allergic reactions. If no reactions occur, increase the infusion rate incrementally to 250 mL/hour until completion.
Anavip
PALS 
Bougie
Tdap
Donate
Sugar tong splint
Finger splint
Buddy tape splint