• Effect Of Friendly And Lasting Relationship In The Family For The Purpose Of Supporting And Promoting Health

  • CHAPTER TWO -- [Total Page(s) 8]

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    • Evidence suggests that the difference between the venom component of different snake species resulted from the diet /prey directed evolution occurring over time.
      1.    Venom is mostly water somatic a protein in venom imparts its destructive property. Proteases collagens and originates  ester hydrogenate have been identified in pit viper venom
      2.    Neurotoxins comprise the majority of coral snake venom. Specific details are known for several enzymes as follows:
      i.    Hyaluronidase allows rapid spread of the venom through subcutaneous tissues by disrupting muccopolysaccaride.
      ii.    Phospholipids A2 play a major role in hemolytic secondary to the esterolytic effect on red blood cells members and promote muscles necrosis
      iii.    A Thrombogenic enzyme promotes the formation of weak fibrin clots which in turn activate plasmin and result in a consumptive coagulopathy and its hemorrhagic consequences. Enzymes concentration may vary among specialization causing dissimilar envenomation. Copperhead bites generally are limited to local tissues destruction. Rattle snakes can leave e impressive wound and cause systemic toxicity. Coral snake may leave a small that later result in respiratory failure from systemic neuro-muscular blockage. The local effect of
       Venom serves as a reminder of the potentials for systemic disruption of organ system function. One effect is local bleeding
      3.    Coagulopathy is not uncommon with severe Enovation. Another effects is local oedema increases capillary leak and intestinal fluid in the lungs. Pulmonary mechanism may be altered significantly. The final effect is local cell death increases lactic acid concentration secondary to change in volume status and required minutes ventilation. The effects of neuro-muscular metric excursion. Cardiac failure can result in hypotension and acid myoglobunuria and renal damage.
      2.8 DIAGNOSES OF SNAKE BITE.
      In many cases of envenoming, the following snakes bite, the snake responsible for the accident remains unidentified. These usually result in difficulty in deciding which anti venoms are available to be administered to the systematically envenomed victim especially when mono specific anti venoms is available.
             However, diagnoses of snake could be distinguished into the following sub-headings:-
      i.    Clinical diagnosis
      ii.    Laboratory diagnoses
      iii.    Bio-detection
      i.    CLINICAL DIAGNOSES: this depends upon recognition of specific signs and symptoms of envenoming in the patient. This includes the local signs such as swelling, local necrosis. (pictures of swellings, blistering and necrosis) more importantly, for accurate diagnosis, systemic signs such as hemorrhage, incoagulable blood and hypovolumic shock (pictures) are common mainly in vipers’ bite, whereas necrotic signs occur primarily in elapid snake bite and rhabdomyis ( muscular damage) in sea snake bite.
      ii.    LABORATORY DIAGNOSIS: This is based on changes which occur in envenomed victims. These include the detection of abnormal changes in blood parameters. For example, incoagulable blood as examined using the simple bedside 20minutes whole blood clotting test (WBCT20) otherwise called clotting time. Dramatic fall in the plat let count, changes in red and white blood cells counts. Presence/absence of myoglobinuria. Changes in
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    • ABSRACT - [ Total Page(s): 1 ]CHECK BACK SOON ... Continue reading---

         

      CHAPTER ONE - [ Total Page(s): 3 ]CHAPTER ONE1.1 BRIEF INTRODUCTION OF CLIENT.Madam “N” is a wife of Mr. Selbar from the family of Selbar Nimlyat a 40 year old middle age woman.  She is about 6.5metres tall and slim she is black in complexion and was brought to the comprehensive health Jos University Teaching Hospital (JUTH) Zamko branch Langtang North LGA Plateau state. The woman was brought to the hospital with the history of snake bite by her husband Mr. Selbar on the 12th August 2017 at about 4.30 pm, with the f ... Continue reading---

         

      CHAPTER THREE - [ Total Page(s): 9 ]INTERVENTION:i.    Provide a description of the frequent and information about maintenance procedures and how to decrease fear and anxiety clarify misconceptions and improve co-operation.ii.    Indicate the desire to hear and speak to the patient when the procedure is pain freeiii.    Access metal status including mood, affective.iv.    Encourage patient to talk about injuries everydayv.    Explain to the patient what is happening. Give a chance to ask question and give ... Continue reading---

         

      CHAPTER FOUR - [ Total Page(s): 1 ]CHAPTER FOURSUMMARY, CONCLUSION AND RECOMMENDATIONS4.1     SUMMARYMrs. “N” received a prompt attention and adequate care from the snake bite which is an emergency case. She recovered fully and was discharged after 5 days of admission in the hospital on drugs and subsequent medical review.My visits were all successful; I was given a good reception by members of the family and the entire community. The families were happy with the knowledge they got from me through the health talk ... Continue reading---

         

      REFRENCES - [ Total Page(s): 1 ]REFERENCES1.    Alirol E, Sharma SK Bawaskar HS, Kuch U Chappuis F. snake bite in South Asia: a review Plos Negal Trop Dis. 2010 4: e603 (PMC free article) (Pub Med)2.    Anonymous District Demographic Profile of Nepal Kathmandu Nepal: Informal Sector Research and study Centre 2002.3.    Complications of snake bite https:googleweblligh.com.ipu=http:4.    http://googleweblight.com.ng/search. Snake bite treatment and management.5.    https://www.google.com/ipu=htt6.    http://www ... Continue reading---