Botulism: Difference between revisions
From Guide to YKHC Medical Practices
(Created page with "*Food borne botulism is very common in our region as the consumption of fermented traditional foods is very common. Bethel is one of the repositories of botulism anti-toxin fr...") |
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*Link to: [http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism] | *Link to: [http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism] | ||
*Patients with suspected exposure to botulism should be treated with the anti-toxin and hospitalized. Measured Forced Vital Capacity needs to be measured and repeated hourly and if less than [[____% predicted or a decreased in ____%]], intubation should be considered. There is a special kit with the anti-toxin in the ED that you need to look over with information on administration and dosage. This paperwork '''MUST''' be completed and returned to the State of Alaska. | *Patients with suspected exposure to botulism should be treated with the anti-toxin and hospitalized. Measured Forced Vital Capacity needs to be measured and repeated hourly and if less than [[____% predicted or a decreased in ____%]], intubation should be considered. There is a special kit with the anti-toxin in the ED that you need to look over with information on administration and dosage. This paperwork '''MUST''' be completed and returned to the State of Alaska. | ||
[[:Category:YKHC Guidelines]] | |||
<br/>[[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]] | |||
Revision as of 09:45, 24 September 2020
- Food borne botulism is very common in our region as the consumption of fermented traditional foods is very common. Bethel is one of the repositories of botulism anti-toxin from the CDC and we have several kits here that we can use to treat patients. Botulism should be suspected in any patient with a history of consuming traditional fermented foods and symptoms such as weakness, dry mouth, blurred vision, urinary retention, ileus, diarrhea or dyspnea (especially without gasping or rapid respiratory rate.)
- All suspected cases of botulism MUST be reported immediately to State of Alaska section of epidemiology 907-269-8000 or 800-478-0084. The state of Alaska has a very nice booklet on botulism that outlines symptoms and case recognition and appropriate treatment that can be found on the following web site. There are also *hard copies in the ED and on NW.
- Link to: State of Alaska website on botulism
- Patients with suspected exposure to botulism should be treated with the anti-toxin and hospitalized. Measured Forced Vital Capacity needs to be measured and repeated hourly and if less than ____% predicted or a decreased in ____%, intubation should be considered. There is a special kit with the anti-toxin in the ED that you need to look over with information on administration and dosage. This paperwork MUST be completed and returned to the State of Alaska.
