Page 329 - Learnwell EVS

omous bites and stings

Hymenoptera stings (ho ney bees, wasp s and ho rnets)

– L o cal care: rem o ve th e em bed d ed sting ( bee) , clean w ith so ap and w ater; if
p rurigino us, ap p ly calamine lo tio n.

– A nalgesics if necessary (p aracetam o l P O ).

– In the event o f an anap hy lactic reactio n:
epinephrine (adrenaline) IM

U se undiluted ep inep hrine so lutio n (1 :1 0 0 0 = 1 m g/ m l) and a 1 m l sy ringe grad uated

in 0 .0 1 m l in child ren:

C hild ren und er 6 y ears: 0 .1 5 m l

C hild ren fro m 6 to 1 2 y ears: 0 .3 m l

C hild ren o ver 1 2 y ears and ad ults: 0 .5 m l

F o r child ren, if 1 m l sy ringe is no t available, use a diluted so lutio n, i.e. ad d 1 m g

ep inep hine to 9 m l o f 0 .9 % so d ium chlo rid e to o btain a 0 .1 m g/ m l so lutio n (1 :1 0

0 0 0 ):

C hild ren und er 6 y ears: 1 .5 m l

C hild ren fro m 6 to 1 2 y ears: 3 m l

Rep eat after 5 m inutes if no clinical im p ro vem ent.

U se I V ep inep h rine ( fo r d o ses, see Anaphylactic shock, p age 1 9 ) in p atients w ith
circulato ry co llap se o r tho se who d eterio rate d esp ite receiving IM ep inep hrine.

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