옛날 닉네임이....???

드디어 뱀농장을 시작하셨군요.^^

이젠 정착을 하신듯하여 축하드립니다.

말씀처럼 보건소에서도

해독제를 보유하고 있지않다니

어이가 없습니다.^^

정확한 자료가없이 일을 시작하셨으니

차근차근 파악하신 자료

우리 시골기차와도 함께 나누시면 좋을것 같습니다.

들러서 뵙고 싶어도

뱀농장이라...

오싹해서 발길이 떨어지지 않을것 같습니다.^^

해독제에 대한 별다른 상식은 없어 도움은 드리지 못하겠으나

님에 글중 보건소에 귀정상 해독제를 보유할수 없다는 보건소 ?

이해가 안가네요

제가 얼마전 어느님 뱀이야기 말씀 덧글에 시골살이 필수조건에 이런 글은 올린걸로 기억이 됩니다

뱀에 물릴 경우를 대비해 터근처 보건소나 보건지소가 어디있는가는 꼭 알아두시라는

뱀에 물려 병원을 찿아도 결국에는 보건소나 보건지소에서 해독제을 타다가 맞어야 한다는 글을요

시간이 이르니 업무시간이 될때 다시한번 확인을 해봐야겠네요

 ‘안티베닌’이라는 제품이 있는것으로 인터넷을 보니 나오는군요

보건지소등에서는 해독제가 값이 비싸고 일정 유효기간이 지나면 반납이 안되고 하니

해독제를 구비하는것을 꺼린다고 하더군요

의사의 처방이 필요한 제품도 있구요....

소잃고 외양간 고치지 말고 무언가 필요한 사람들의 입장에서 구비되고 정책이 실현되야 된다고 생각합니다

명절을 맞이하여 벌초하실때 안전사고 유의하시고

안전장비 잘갖추고 하시길 바랍니다...청주... 

안티 베닌 이라는 뱀 해독제는 먹는 약이 아니고 정맥 주사를 하여야 하며 따라서 링거액을 맞으면서 투약 하여야 하는데 그 양도 일정하게 정해진 것이 아니라 물린 뱀의 종류와 시간,증상의 심한 정도에 따라 투여되며, 물린 부위에 괴사가 있을땐 절제가 필요할 수도 있고, 기관지부종이 되어 호흡이 곤란해지면, 에피네프린투여와 기관지 절개후 삽관이 필요할 수도 있는데 이러한 처치가 보건소내지는 집에서 가능하겠는지요?

예전에 몇 차례 경험을 하였습니다.

살모사의 종류마다 각기 다른 약이 있는 것이 아니고  국내에서는 코박스건조살무사항독소(Antivenin Agkistrodon Halys 6,000IU/vial)이라는 것이 있는데 이름에서 건조라는 말이 있듯이 이약은  처음에 1바이알을 같이 첨부된 용제(0.6% 염화나트륨액) 20mL로 완전히 녹여서 물린 부위를 피하여 근육내(피하) 또는 정맥내에 주사하기도하지만  보통은  생리식염수에 넣어서  정맥주사로 놓습니다.

상황에 따라서는  두세시간 후에 1/2~1바이알을  추가로 놓기도 합니다.

이 약의 사용시에는 혈청 과민증(그래서 미리 스킨테스트라는 검사를 해보고 아무 이상 반응이 없으면 15~ 30분 정도 뒤에  씁니다.), 쇼크 등을 조심하여야하기에 혹시라도  그런 사태에 대비해서 물론 에피네프린, 항히스타민제, 스테로이드제, 플루이드(링게르?)등의 주사제는 물론 응급상황에 즉시 대처할 수 있는 장비와 인력이 그리고 혹 혈소판 감소증이 생기지 않았는가 관찰도 해야 되고... 하여튼 그러한  사태가 발생하였을 때 즉시 대응을 할 수가 있는 전문 인력(의사 등) 있어야하기에 개인이나 보건지소(?)급 혹은 보건소라도  그러한 상황에 대처할 수 있는 준비가 안되어 있으면 곤란한 것이기에  개인이 나 보건지소급에서 미리 준비를 해서 치료를 한다는 것은 무리일테고 천상에 지역의 병원급에서나 치료가 가능할 것 같습니다.  경우에 따라서는 항생제가 필요한 경우도 생깁니다. 그냥 제 의견입니다.

감사합니다 .꾸벅~  파르라니 님 에전 닉이 내맘대로 였습니다.

참 강아지가 독사에 물렸는데 가축병원에 가서 콤비콤씨 라는 해독제를 두번 맞았습니다. 강아지는 사람보다 면역력이 강한모양 입니다.  운임님 살모사와 까치살모사는  독이 다른걸로 아는데 해독제는 같은걸  맞아도 되는가 봅니다

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