How to Treat Insect Bites And Stings?


Things to note:
  • Severe reactions to allergies may be delayed.
  • Beware of early discharge from the hospital.

Medical Treatment:
Intravenous fluids
Set an intravenous line:
  • 0,9 percent sodium chloride, IV.
  • Adrenaline( epinephrine), IV slow, immediately 1:10 000 0,5 mg.
OR
  • Adrenaline( epinephrine) in the lateral thigh 1:1 000, IM 0.5 ml. Not in subcutaneous conditions.
PLUS
  • Hydrocortisone, IV, 200 mg, as a single dose immediately.
PLUS
Oxygen if bronchospasm. Nebulised salbutamol, 5 mg diluted with 0.9 percent sodium chloride to a total 5 mL volume.
  • Nebulisation at 6-8 l / minute flow rate.
  • Cetirizine, oral, 10 mg as a single dose if the patient has itch.


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