4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Can we give prasozin when the BP is not recordable and the pulse is very weak in a case of scorpion sting?
Answer
Prazosin is a pharmacological and physiological antidote mesobuthus tamulsus scorpion venom action. In such case rapid hydration which is due to excessive sweating and salivation. If extremities are cold due to vasocontraction. In such case resusitate child first with IV fluids and Dopamine and simultaneously add oral prazosin provided child is not allowed to sit or mother should not lift the crying or agitated child which is routine procedure in Indian mother and villagers.
weak pulse is always associated with some recordable BP.
initial low BP with low volume pulse is due to severe vasoconstriction the BP may not be recordable in such situation PRAZOSIN must be administered to rectify the vasoconstriction.
It is surprise to note that In our experience when the patient is in massive life threatening pulmonary oedema with low BP and weak pulse with cold extremities soon after unloading the heart with sodium nitroprusside the BP raised and pulse volume improves.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
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