{"id":1922,"date":"2025-12-26T20:22:54","date_gmt":"2025-12-26T20:22:54","guid":{"rendered":"https:\/\/videoteca.svpediatria.org\/?page_id=1922"},"modified":"2026-02-06T23:58:59","modified_gmt":"2026-02-06T23:58:59","slug":"emergencias","status":"publish","type":"page","link":"https:\/\/videoteca.svpediatria.org\/?page_id=1922","title":{"rendered":"Emergencias"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1922\" class=\"elementor elementor-1922\">\n\t\t\t\t<div class=\"elementor-element elementor-element-110a575 e-flex e-con-boxed e-con e-parent\" data-id=\"110a575\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b344c2a e-con-full e-flex e-con e-child\" data-id=\"b344c2a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-708c50c e-grid e-con-full e-con e-child\" data-id=\"708c50c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-13f445a e-con-full e-flex e-con e-child\" data-id=\"13f445a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-2689128 e-grid e-con-full e-con e-child\" data-id=\"2689128\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-725c488 elementor-widget elementor-widget-image\" data-id=\"725c488\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/?page_id=624\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"171\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1-300x171.jpg\" class=\"attachment-medium size-medium wp-image-704\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1-300x171.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1.jpg 700w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-01c4c32 e-grid e-con-boxed e-con e-parent\" data-id=\"01c4c32\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6fbbbd9 e-grid e-con-full e-con e-child\" data-id=\"6fbbbd9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e4ec1c5 elementor-widget elementor-widget-text-editor\" data-id=\"e4ec1c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1 style=\"text-align: center;\"><img decoding=\"async\" class=\"wp-image-943 size-medium aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Emergencias1-300x263.png\" alt=\"\" width=\"300\" height=\"263\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Emergencias1-300x263.png 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Emergencias1-1024x897.png 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Emergencias1-768x673.png 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Emergencias1-1536x1346.png 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/Emergencias1.png 1976w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><span style=\"color: #68c4e3;\">Emergencias<\/span><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f8adb83 e-grid e-con-boxed e-con e-parent\" data-id=\"f8adb83\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-2616c58 e-con-full e-flex e-con e-child\" data-id=\"2616c58\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-99d5076 e-con-full e-flex e-con e-child\" data-id=\"99d5076\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-e2014eb e-con-full e-flex e-con e-child\" data-id=\"e2014eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-92ef1dd elementor-widget elementor-widget-n-accordion\" data-id=\"92ef1dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1540\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1540\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Envenenamiento Of\u00eddico <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-medical\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-153 31V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm64 160v48c0 4.4-3.6 8-8 8h-56v56c0 4.4-3.6 8-8 8h-48c-4.4 0-8-3.6-8-8v-56h-56c-4.4 0-8-3.6-8-8v-48c0-4.4 3.6-8 8-8h56v-56c0-4.4 3.6-8 8-8h48c4.4 0 8 3.6 8 8v56h56c4.4 0 8 3.6 8 8z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-5a7afc5 e-con-full e-flex e-con e-child\" data-id=\"5a7afc5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-d947d22 e-flex e-con-boxed e-con e-child\" data-id=\"d947d22\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c8b8229 elementor-widget elementor-widget-image\" data-id=\"c8b8229\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Ofidico.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Envenenamiento Of\u00eddico\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTkzNiwidXJsIjoiaHR0cHM6XC9cL3ZpZGVvdGVjYS5zdnBlZGlhdHJpYS5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzEyXC9FbnZlbmVuYW1pZW50by1PZmlkaWNvLmpwZyJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"934\" height=\"447\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Ofidico.jpg\" class=\"attachment-large size-large wp-image-1936\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Ofidico.jpg 934w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Ofidico-300x144.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Ofidico-768x368.jpg 768w\" sizes=\"(max-width: 934px) 100vw, 934px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-735278c e-con-full e-grid e-con e-child\" data-id=\"735278c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6004ebb e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"6004ebb\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;horizontal_scroll&quot;:&quot;disable&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"100683451\" aria-label=\"Pesta\u00f1as. 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data-tab-index=\"10\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-10068345110\" style=\"--n-tabs-title-order: 10;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-book\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tBibliograf\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-10068345111\" data-tab-title-id=\"e-n-tab-title-10068345111\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"11\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-10068345111\" style=\"--n-tabs-title-order: 11;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDescargar Gu\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834511\" id=\"e-n-tab-content-1006834511\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-a9a05b7 e-con-full e-grid e-con e-child\" data-id=\"a9a05b7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-f9973c6 e-con-full e-flex e-con e-child\" data-id=\"f9973c6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-f02ccd4 e-con-full e-flex e-con e-child\" data-id=\"f02ccd4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c5db62 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1c5db62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Conceptos b\u00e1sicos<\/b><\/span><\/p><p>ACCIDENTE OF\u00cdDICO: es la lesi\u00f3n resultante de una mordedura de una serpiente, que puede dejar su huella\u00a0 o tatuaje dentario, en el caso de que esta serpiente inocule su veneno y provoque\u00a0 trastornos fisiopatol\u00f3gicos locales y\/o sist\u00e9micos, y\/o alteraciones en los ex\u00e1menes paracl\u00ednicos se convierte en un ENVENENAMIENTO OF\u00cdDICO.<\/p><p>MORDEDURA SECA: es la mordedura de una serpiente venenosa en la que no inyecta veneno, o se inocula una cantidad de veneno tan insignificante que es incapaz de producir efectos sist\u00e9micos de envenenamiento.<\/p><p>IMPRONTA: son las marcas o huellas que dejan los dientes o colmillos de la serpiente en la piel de la v\u00edctima<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834512\" id=\"e-n-tab-content-1006834512\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-64b92f1 e-grid e-con-boxed e-con e-child\" data-id=\"64b92f1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-d2a2755 e-con-full e-grid e-con e-child\" data-id=\"d2a2755\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fbda229 elementor-widget elementor-widget-text-editor\" data-id=\"fbda229\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Serpientes venezolanas peligrosas<\/b><\/span><\/p><p><strong>Familia Elapidae<\/strong><\/p><p>G\u00e9nero Micrurus<\/p><p>Nombre com\u00fan Coral<\/p><p><strong>Familia Viperidae<\/strong><\/p><p>G\u00e9neros:<\/p><p>Bothrops nombre com\u00fan: Mapanare<\/p><p>Porthidium nombre\u00a0 com\u00fan:Mapanare del monte, saltona, sapa.<\/p><p>Crotalus nombre com\u00fan:Cascabel<\/p><p>Lachesis: nombre com\u00fan: Cuaima pi\u00f1a<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834513\" id=\"e-n-tab-content-1006834513\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-ec38278 e-grid e-con-boxed e-con e-child\" data-id=\"ec38278\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-f3c57bc e-con-full e-flex e-con e-child\" data-id=\"f3c57bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9bebcd0 elementor-widget elementor-widget-text-editor\" data-id=\"9bebcd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Diagn\u00f3stico<\/b><\/span><\/p><p><strong>MANEJO PREHOSPITALARIO:<\/strong> Averiguar acerca del uso del torniquete, infusiones o bebidas,manipulaci\u00f3n de improntas, traslado<\/p><p><strong>EPIDEMIOLOG\u00cdA: <\/strong>Antecedentes de accidentes of\u00eddicos, investigar la herpetofauna de la zona<\/p><p><strong>MANEJO HOSPITALARIO O CL\u00cdNICO:<\/strong><\/p><ul><li>Tri\u00e1ngulo de evaluaci\u00f3n pedi\u00e1trico<\/li><li>ABCDE<\/li><li>Hospitalizaci\u00f3n m\u00ednimo 24 horas<\/li><li>Diagn\u00f3stico: clasificaci\u00f3n del envenenamiento<\/li><li>Tratamiento: espec\u00edfico y general<\/li><li>Cl\u00ednica del envenenamiento of\u00eddico<\/li><\/ul><p>\u00a0<\/p><p><strong>TOXICIDAD LOCAL<\/strong><\/p><ul><li>Edema r\u00e1pidamente progresivo<\/li><li>Dolor<\/li><li>Flictenas<\/li><li>Equimosis<\/li><li>Cl\u00ednica del envenenamiento of\u00eddico<\/li><\/ul><p>\u00a0<\/p><p>\u00a0<\/p><p>\u00a0<\/p><p>\u00a0<\/p><p><strong>TOXICIDAD SIST\u00c9MICA<\/strong><\/p><ul><li>Prueba del todo o nada positiva o prueba de coagulaci\u00f3n manual positiva<\/li><li>Hemorragias<\/li><li>Neurotoxicidad<\/li><li>Rabdiomi\u00f3lisis<\/li><li>Mioglobinuria<\/li><li>Insuficiencia renal<\/li><li>Insuficiencia card\u00edaca<\/li><li>Shock, hipotensi\u00f3n<\/li><li>CID<\/li><li>Alteraciones en los ex\u00e1menes paracl\u00ednicos<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834514\" id=\"e-n-tab-content-1006834514\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-36b4acb e-flex e-con-boxed e-con e-child\" data-id=\"36b4acb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-6ac8578 e-con-full e-flex e-con e-child\" data-id=\"6ac8578\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1dd9d48 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1dd9d48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Manifestaciones cl\u00ednicas en envenenamientos<\/b><\/span><\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1952 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/> <\/a><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-y-Micrurus-Manifestaciones-Clinicas.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1957 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-Manifestaciones-Clinicas-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-Manifestaciones-Clinicas-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-Manifestaciones-Clinicas-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-Manifestaciones-Clinicas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-Manifestaciones-Clinicas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Bothropico-Manifestaciones-Clinicas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1958 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalus-Manifestaciones-Clinicas-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalus-Manifestaciones-Clinicas-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalus-Manifestaciones-Clinicas-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalus-Manifestaciones-Clinicas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalus-Manifestaciones-Clinicas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalus-Manifestaciones-Clinicas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1956 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalicos-Manifestaciones-Clinicas-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalicos-Manifestaciones-Clinicas-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalicos-Manifestaciones-Clinicas-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalicos-Manifestaciones-Clinicas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalicos-Manifestaciones-Clinicas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Crotalicos-Manifestaciones-Clinicas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1959 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-Manifestaciones-Clinicas-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-Manifestaciones-Clinicas-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-Manifestaciones-Clinicas-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-Manifestaciones-Clinicas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-Manifestaciones-Clinicas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-Manifestaciones-Clinicas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1960 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Micrurus-Manifestaciones-Clinicas-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Micrurus-Manifestaciones-Clinicas-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Micrurus-Manifestaciones-Clinicas-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Micrurus-Manifestaciones-Clinicas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Micrurus-Manifestaciones-Clinicas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Micrurus-Manifestaciones-Clinicas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1961 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-y-Micrurus-Manifestaciones-Clinicas-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-y-Micrurus-Manifestaciones-Clinicas-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-y-Micrurus-Manifestaciones-Clinicas-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-y-Micrurus-Manifestaciones-Clinicas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-y-Micrurus-Manifestaciones-Clinicas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-por-Lachesis-y-Micrurus-Manifestaciones-Clinicas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834515\" id=\"e-n-tab-content-1006834515\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-81d803e e-flex e-con-boxed e-con e-child\" data-id=\"81d803e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-b479f05 e-con-full e-flex e-con e-child\" data-id=\"b479f05\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b9a2151 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b9a2151\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Ex\u00e1menes<\/b><\/span><\/p><ul><li>Prueba del todo o nada<\/li><li>Hematolog\u00eda completa, Vsg, Prote\u00edna C Reactiva<\/li><li>Pruebas de Coagulaci\u00f3n: PT, PTT, TC, Fibrin\u00f3geno<\/li><li>\u00darea y Creatinina<\/li><li>Transaminasa: TGO y TGP<\/li><li>Orina<\/li><li>Electrolitos<\/li><li>Creat\u00edn fosfoquinasa CPK<\/li><li>Deshidrogenasa l\u00e1ctica DHL<\/li><li>Sangre oculta en heces<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834516\" id=\"e-n-tab-content-1006834516\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-572f16b e-flex e-con-boxed e-con e-child\" data-id=\"572f16b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-ea45b55 e-con-full e-flex e-con e-child\" data-id=\"ea45b55\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7b5bb81 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7b5bb81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Tratamiento General <\/b><\/span><\/p><ol><li>Canalizar dos v\u00edas<\/li><li>Hidrataci\u00f3n, 20 a 30 ml\/kg\/peso. Soluci\u00f3n fisiol\u00f3gica<\/li><li>Limpieza de la herida con agua y jab\u00f3n<\/li><li>No usar v\u00eda intramuscular hasta resolver el trastorno de coagulaci\u00f3n<\/li><li>Analg\u00e9sicos (no usar aines): Acetominofen, Metamisol, Tramadol (Hipotensi\u00f3n) ,Gluconato de calcio 10% 1-2 ml\/kg\/dosis<\/li><li>Antibi\u00f3ticos (no usar en forma profil\u00e1ctica)<\/li><li>Tratamiento contra el t\u00e9tanos si lo amerita, previa neutralizaci\u00f3n del veneno<\/li><\/ol><p>\u00a0<\/p><p><strong>Complicaciones de los Envenenamiento por Bothrops y lachesis<\/strong><\/p><ul><li>Recurrencia del envenenamiento y de la coagulopat\u00eda que puede progresar a CID<\/li><li>Flictenas<\/li><li>Infecciones<\/li><li>Fascitis<\/li><li>S\u00edndrome compartimental<\/li><li>Aborto, abruptio de placenta<\/li><li>Insuficiencia renal<\/li><li>Hipersensibilidad tipo 1 y tipo 3 tard\u00eda<\/li><\/ul><p>\u00a0<\/p><p><strong>Complicaciones crot\u00e1licas (cascabel)<\/strong><\/p><ul><li>Hipotensi\u00f3n<\/li><li>Rabdiomiolisis<\/li><li>Insuficiencia renal aguda<\/li><li>CID<\/li><\/ul><p>\u00a0<\/p><p><strong>Complicaciones Elapidicas (coral)<\/strong><\/p><ul><li>Paro respiratorio.<\/li><li>Trastornos cardiovasculares.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834517\" id=\"e-n-tab-content-1006834517\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-5e2fc19 e-flex e-con-boxed e-con e-child\" data-id=\"5e2fc19\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-32c6842 e-con-full e-flex e-con e-child\" data-id=\"32c6842\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4f917a4 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"4f917a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Antivenina<\/b><\/span><\/p><p>El principal\u00a0 productor de las antiveninas en Venezuela es el centro de biotecnolog\u00eda de la facultad de farmacia UCV (Biotecfar C.A) Elaboran un antiveneno polivalente, neutraliza venenos contra Bothrops &#8211; Mapanares y Crotalus -cascabeles<\/p><p>Un equipo ( kit) de suero o antiveninas contiene 5 viales de 10ml con capacidad para neutralizar 100 mg de veneno Bothrops y 75 mg de veneno crotalus, requiere refrigeraci\u00f3n para su conservaci\u00f3n y traslado<\/p><p>El laboratorio Biotecnol\u00f3gico de la Universidad Francisco de Miranda (Labfarsca C.A) elabora un antiveneno innovador producido de inmunoglobulinas IgY aviar, a\u00fan en etapa experimental. Un kit liofilizado, neutraliza 100mg veneno de Bothrops y 50 mg de veneno de Crotalus.<\/p><p>No requiere refrigeraci\u00f3n.<\/p><p><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Suero-Antiofidico-Polivalente-frasco-ampolla-de-10-ml-5-frascos.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1968 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Suero-Antiofidico-Polivalente-frasco-ampolla-de-10-ml-5-frascos-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Suero-Antiofidico-Polivalente-frasco-ampolla-de-10-ml-5-frascos-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Suero-Antiofidico-Polivalente-frasco-ampolla-de-10-ml-5-frascos-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Suero-Antiofidico-Polivalente-frasco-ampolla-de-10-ml-5-frascos-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Suero-Antiofidico-Polivalente-frasco-ampolla-de-10-ml-5-frascos-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Suero-Antiofidico-Polivalente-frasco-ampolla-de-10-ml-5-frascos.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p><p>1 ml neutraliza 1,5 mg de veneno crot\u00e1lico, 2 mg de veneno bothr\u00f3pico.<\/p><p>V\u00eda de administraci\u00f3n endovenosa en 250ml de soluci\u00f3n fisiol\u00f3gica a pasar en 1 hora. La dosis debe ser lo m\u00e1s pronto posible, suficiente y \u00fanica, ya que el fraccionamiento puede dejar veneno activo circulante.<\/p><p>La dosificaci\u00f3n para adultos, ni\u00f1os y embarazadas debe ser iguales de acuerdo a los esquemas y pausas.<\/p><p><strong>Tratamiento ante una reacci\u00f3n al\u00e9rgica a las Antiveninas o Suero antiof\u00eddico<\/strong><\/p><ol><li>Detener la infusi\u00f3n con la Antivenina<\/li><li>F\u00e1rmaco de elecci\u00f3n Adrenalina IM<\/li><li>Esteroides, Antihistam\u00ednico<\/li><li>Soporte ABC<\/li><li>Al mejorar, reiniciar la infusi\u00f3n con la Antivenina de forma muy lenta<\/li><li>El riesgo del veneno activo es mucho mayor, que una reacci\u00f3n al\u00e9rgica que podemos controlar<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834518\" id=\"e-n-tab-content-1006834518\" data-tab-index=\"8\" style=\"--n-tabs-title-order: 8;\" class=\" elementor-element elementor-element-c61c3d7 e-flex e-con-boxed e-con e-child\" data-id=\"c61c3d7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-4508019 e-con-full e-flex e-con e-child\" data-id=\"4508019\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-406a5f8 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"406a5f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Consideraciones finales<\/b><\/span><\/p><p><strong>QU\u00c9 HACER<\/strong><\/p><p>Reposo absoluto.<\/p><p>Tranquilizar al paciente.<\/p><p>Lavar la herida con agua y jab\u00f3n.<\/p><p>Elevar el miembro.<\/p><p>Capturar la serpiente o tomar una fotograf\u00eda o video, hora del evento.<\/p><p>Quitar anillos y todos los objetos que le puedan apretar.\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p><p>Monitoreo de signos vitales y hemorragias.<\/p><p>\u00a0<\/p><p><strong>QU\u00c9 NO HACER<\/strong><\/p><p>No usar torniquete.<\/p><p>No realizar incisiones.<\/p><p>No succionar.<\/p><p>No aplicar crioterapia.<\/p><p>No administrar localmente suero antiof\u00eddico.<\/p><p>No dar bebidas alcoh\u00f3licas.<\/p><p>No colocar p\u00f3cimas vegetales, hidrocarburos ni quemar el sitio de la lesi\u00f3n, ni choques el\u00e9ctricos.<\/p><p>Una mordedura de serpiente ser\u00e1 considerado como emergencia hasta que no se demuestre lo contrario. Si la mordedura por Bothrops\u00a0 es en cabeza, cuello, genitales o sangrado menos de 6 horas, es un envenenamiento Bothr\u00f3pico grave y se le debe colocar tratamiento para envenenamiento grave, sin esperar ex\u00e1menes de laboratorio.<\/p><p>Las mordeduras de importancia cl\u00ednica( Bothrops)pueden desarrollar los primeros s\u00edntomas entre 4 y 20 minutos. El dolor com\u00fanmente se incrementa y es severo, acompa\u00f1ado de edema. La letalidad del envenenamiento Bothr\u00f3pico sin tratamiento espec\u00edfico es cercana al 8%, disminuyendo con la Antivenina a 0,5-0,7%<\/p><p>La letalidad del envenenamiento Crot\u00e1lico sin tratamiento espec\u00edfico oscila entre 65% y 72% de los casos, desciende a 12% cuando recibe tratamiento con la Antivenina. El suero antiof\u00eddico o antivenina es el \u00fanico Ant\u00eddoto espec\u00edfico ante un envenenamiento of\u00eddico, todo lo que dem\u00e1s que hacemos es puro tratamiento de soporte.<\/p><p>A pesar de la eficiencia de la Antivenina para neutralizar el veneno, es importante aclarar que estos biol\u00f3gicos no revierten los da\u00f1os causados por el veneno, por lo que m\u00e1s tarde se aplique, el paciente irreversiblemente sufrir\u00e1 m\u00e1s los efectos del envenenamiento. La Antivenina siempre debe ser por v\u00eda Ev, la dosis depender\u00e1 de la clasificaci\u00f3n de severidad, de acuerdo al g\u00e9nero de la serpiente, LOS NI\u00d1OS DEBEN RECIBIR IGUAL DOSIS DE ANTIVENINAS QUE LOS ADULTOS.<\/p><p>En un tratamiento exitoso con la Antivenina:<\/p><p>El sangramiento se corrige en un 100% las primeras 6 horas posterior al tratamiento. Recuperaci\u00f3n del 50% del valor del fibrin\u00f3geno de 12 horas a\u00a0 24 horas y la hematuria se resuelve en el 95% de los casos en las primeras 48-72 horas de lo contrario puede indicar da\u00f1o renal. No usar Esteroides y Antihistam\u00ednico cuando se administra la Antivenina, a menos que se est\u00e9 tratando una reacci\u00f3n de hipersensibilidad a la Antivenina. No s\u00e9 debe administrar profil\u00e1cticamente antibi\u00f3ticos, colocar el Toxoide tet\u00e1nico o el esquema de la vacunaci\u00f3n\u00a0 si no la tiene, una vez que mejores los valores de los ex\u00e1menes de laboratorio.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-1006834519\" id=\"e-n-tab-content-1006834519\" data-tab-index=\"9\" style=\"--n-tabs-title-order: 9;\" class=\" elementor-element elementor-element-c7a241c e-con-full e-grid e-con e-child\" data-id=\"c7a241c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-8ccee16 e-con-full e-flex e-con e-child\" data-id=\"8ccee16\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-56dec63 e-con-full e-flex e-con e-child\" data-id=\"56dec63\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9337a89 elementor-widget elementor-widget-text-editor\" data-id=\"9337a89\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Autores<\/strong><\/span><\/p><p>Cisnero, Mirtha<\/p><p><em>Puericultor, Pediatra, Toxic\u00f3logo Cl\u00ednico general, Actualmente Pediatra Toxic\u00f3logo Cl\u00ednico en Ciudad Guayana, Asesor\u00eda de Toxicolog\u00eda Cl\u00ednica a nivel nacional &#8211; Ad honorem<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-10068345110\" id=\"e-n-tab-content-10068345110\" data-tab-index=\"10\" style=\"--n-tabs-title-order: 10;\" class=\" elementor-element elementor-element-b223c6e e-con-full e-grid e-con e-child\" data-id=\"b223c6e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-6edd189 e-con-full e-flex e-con e-child\" data-id=\"6edd189\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1540\" class=\"elementor-element elementor-element-ab743ae e-con-full e-flex e-con e-child\" data-id=\"ab743ae\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-acf648d elementor-widget elementor-widget-text-editor\" data-id=\"acf648d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>BIBLIOGRAF\u00cdA<\/strong><\/span><\/p><ol><li>Rengifo CE, Bremo Ad, Rodr\u00edguez Lu, Navarrete Luis, et al Serpientes: venenos y tratamiento m\u00e9dico en Venezuela. 3era edici\u00f3n 2024. UCV<\/li><\/ol><ol start=\"2\"><li>ucv.ve Serpientes de Venezuela, Manejo Medico<\/li><\/ol><ol start=\"3\"><li>Ferro Gl, Troudy Mi, Scott Du, Caracterizaci\u00f3n Epidemiol\u00f3gica del accidente of\u00eddico. Municipio gran sabana del Estado Bol\u00edvar &#8211; Venezuela, Universidad de los Andes<\/li><\/ol><ol start=\"4\"><li>Mota jo. Rep\u00fablica Bolivariana de Venezuela, Universidad R\u00f3mulo Gallegos, \u00c1rea de Ciencias de la Salud, Hospital general Dr Victorio Santaella. Los Teques Edo Miranda. Accidente ofidico en Venezuela. 2008<\/li><\/ol><ol start=\"5\"><li>Rodr\u00edguez Al, Los venenos y el s\u00edndrome de envenenamiento of\u00eddico. Instituto de Medicina Tropical de la Universidad Central de Venezuela. caibo.ucv.ve<\/li><\/ol><ol start=\"6\"><li>Barrios Do, Accidente of\u00eddico c\u00f3mo problema de salud p\u00fablica. Serpientes en la ciudad 3\/1\/2022<\/li><\/ol><ol start=\"7\"><li>De Sousa Le, Bastouri je, Matos Me, Borges Ad. Epidemiol\u00f3gica del ofidismo en Venezuela (1966-2004) ve.scielo.org Maracaibo jun.2013. Universidad del Zulia.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1540 e-n-tab-title-10068345111\" id=\"e-n-tab-content-10068345111\" data-tab-index=\"11\" style=\"--n-tabs-title-order: 11;\" class=\" elementor-element elementor-element-cb0ac7c e-flex e-con-boxed e-con e-child\" data-id=\"cb0ac7c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c069d1d elementor-widget elementor-widget-text-editor\" data-id=\"c069d1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-845 aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png\" alt=\"\" width=\"52\" height=\"64\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png 244w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_.png 400w\" sizes=\"(max-width: 52px) 100vw, 52px\" \/><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/12\/Envenenamiento-Ofidico.pdf\">Gu\u00eda Cl\u00ednica Envenenamiento Of\u00eddico<\/a>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8abb28b e-flex e-con-boxed e-con e-parent\" data-id=\"8abb28b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div 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provoque\u00a0 trastornos fisiopatol\u00f3gicos locales y\/o sist\u00e9micos, y\/o&hellip;&nbsp;<a href=\"https:\/\/videoteca.svpediatria.org\/?page_id=1922\" rel=\"bookmark\"><span 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