Snake antivenin administration in a patient allergic to horse serum.
We have described a case in which a potent epinephrine drip was useful in the management of a patient who needed antivenin and was allergic to horse serum. With 50 ml of 1:10,000 epinephrine in 500 ml of 5% dextrose in water, repeated anaphylactoid reactions were controlled. We believe that such a solution would be helpful in other patients having severe anaphylactic reactions to antivenin.
D000328:Adult; D000707:Anaphylaxis / Q000517:prevention & control; D000818:Animals; D000997:Antivenins / Q000008:administration & dosage*; D004837:Epinephrine / Q000627:therapeutic use; D006736:Horses / Q000097:blood*; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology*; D007275:Injections, Intravenous; D008297:Male; D012713:Serum Sickness / Q000209:etiology*; D012910:Snake Venoms
D000997:Antivenins; D012910:Snake Venoms; D004837:Epinephrine