SAQ 2002 – Snakebite with abnormal coagulation profile

Marked out of 18.00

A 58-year-old woman is brought to your ED after being bitten on the hand by a brown-coloured snake 3 hours earlier.

Ambulance has applied a pressure immobilisation bandage. Her initial coagulation profile is shown below.

Test	Result
INR	>10.0
Prothrombin time	>100
APTT	>200
Fibrinogen, derived	<0.4
Fibrinogen, clottable	<0.4
D-dimer	>128.00
Platelets	169

List clinical assessment features that would suggest envenomation.

(Marked out of 4.0)

/ 4

Define the abnormality shown on the coagulation profile.

(Marked out of 1.0)

/ 1

List three options for sample acquisition and state the role of a venom detection kit.

(Marked out of 4.0)

/ 4

Complete the table listing absolute and relative indications for antivenom administration.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Absolute</th> <th>Relative</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 6

List three other considerations regarding antivenom administration.

(Marked out of 3.0)

/ 3

Total Score: 0 / 18

Percentage: 0%