Wasp Mud Dauber - Sbcounty.gov

WaspMud DauberCounty of San Bernardino Department of Public HealthDIVISION OF ENVIRONMENTAL HEALTH SERVICESVECTOR CONTROL PROGRAM(909) 388-4600Visit our web site: www.sbcounty.gov/dehsCounty of San Bernardino Department of Public HealthDIVISION OF ENVIRONMENTAL HEALTH SERVICES

AntsBlack Widow SpiderREACTIONSTREATMENTIMMEDIATELOCALFierce burning pain lasting minutes Wash sites withsoap and water Apply ice packsor coldcompresses Apply bakingsoda and waterpasteLOCAL(fire ants)Minutes - Wheal formation 2-4 hours - Clear fluid-filled vesicles 8-10 hours - Cloudy fluid-filledvesicles 12-24 hours - Umbilicated pustuleson a red base, with pain andtenderness 3-8 days - Lesions resolve; mayleave scarsSYSTEMICSee physician forproper treatmentSYSTEMICDue to allergic sensitization; severityand speed of onset related to degreeof sensitivity. May see wheezing,urticaria, abdominal cramps,generalized edema, nausea, vomiting,dizziness, confusion, shockANAPHYLAXISAND DEATHSRare, but reportedHoney AntREACTIONSTREATMENTIMMEDIATELOCAL FIRST AIDPinprick sensationfrom biteIneffective and unnecessaryLOCALSee physician for propertreatmentDull, numbing pain;two red puncturemarks at bite site.Pain peaks at 1-3hours and persists12-48 hoursSYSTEMICREGIONAL Severe muscle painand spasm Rigid board-likeabdomen Tightness in chestand pain oninspirationGENERALRed Ant Rigidity and spasmof all large musclegroups; excruciatingabdominal pain Convulsions,paralysis ShockDEATHS4-5% of untreatedcases due toneurotoxic effect ofvenomBlack WidowSpider

L FIRST AIDPain, often intenseWash with soap and ateApply ammonia in 10%solutionApply cool, wet dressingsof a saturated magnesiumsulfate solutionLOCAL1-4 hours - A twopuncture wound at the sitewith redness, swelling anda burning, aching pain thatsubsides in 4-5 hoursREGIONALSYSTEMICAnalgesics for painRare - Purpura of an entirelimbANAPHYLAXIS ANDDEATHNone reported in theUnited StatesREACTIONSIMMEDIATELOCAL FIRST AIDSevere sharp pain Apply ice packs Apply tourniquet ifpossible and as near stingsite as possible. Loosenbriefly every10-15minutesLOCAL Dangerous neurotoxic species- Pins-and-needles sensationwith no local swelling ordiscoloration (found inArizona only) Comparatively harmless species(not neurotoxic) - Local swellingand discoloration at sting siteSYSTEMICCentipedeCentipedeNeurotoxic species only - within1-3 hours Hypoesthesia and numbness ordrowsiness Itching of nose and throat Impaired speech and tightness ofjaw muscles Restlessness and muscletwitching Muscle spasm with pain, nausea,vomiting, incontinence,convulsions Respiratory and/or circulatorydistressANAPHYLAXISRare, but reported withnonneurotoxic speciesCentipedeTREATMENTDEATHSOccasional; due to neurotoxicspeciesWARNING: Do not usemorphine or opiates sincethey increase toxic effectsSYSTEMICSee physician for propertreatmentScorpion

Brown Recluse SpiderREACTIONSTREATMENTIMMEDIATELOCAL FIRST AIDVery little pain, if anyIneffective andunnecessaryLOCAL 2-8 hours - Mild to severe painwith redness and vesiculation atbite site, followed by ischemia 3-4 days - Star-shaped firm area ofdeep-purple color with necrosis 7-14 days - Central area ofdepression and ulceration 21 days - Healing and searformation. May not healsufficiently and may require skingraftingSYSTEMICSee physician for propertreatmentSYSTEMIC* Fever, chills, nausea, vomiting,weakness, joint pain* Morbilliform or petechialgeneralized eruption* Occasionally serioushematological disturbances hemolytic anemia,thrombocytopeniaDEATHSReported; usually in children, dueto renal failure and hematologicalabnormalitiesUrticating CaterpillarsREACTIONSTREATMENTIMMEDIATELOCAL FIRST AIDSevere burning pain Repeated stripping usingadhesive or cellophane tapeto remove spines Apply ice packs Apply baking soda-andwater pasteLOCAL Numbness and swelling ofarea inflicted with severeradiating pain Possible double row ofparallel red puncture marksforming a grid-like tractalong the path of thecaterpillar Swelling of regional lymphglands Late foreign-body reactionto unremoved spinesSYSTEMICSee physician for propertreatmentSYSTEMIC Nausea, vomiting, fever Headaches. Shock and convulsions(rare)DEATHSNone reportedBrown Recluse SpiderTentCaterpillar

True BugsTicks*REACTIONSTREATMENTIMMEDIATELOCAL FIRST AIDMild itch to severe allergicreaction Remove tick by graspingthe mouthparts close tothe attachment point withforceps or tweezers andslowly removing the tick. Apply ice packLOCAL Red swelling at point of bite Potentially fatal from tickparalysis Numbness of lower limbs,continuing to upper body regionswithin hoursSYSTEMIC Tick granuloma (tumor) mayoccur days or months after biteSYSTEMICSee physician for treatmentof these symptoms ofdiseases transmitted sually no sensation, occasionallymild painWash with soapand waterLOCALFour distinct reactions depending ondegree of sensitivity Papule with a central punctum Small vesicles grouped around bitesite withswelling and little redness Giant urticarial lesion with centralpunctum and surrounding brawnyedema on hands and feet — thecharacteristic “kissing bug bites”SYSTEMICOral antihistaminesANAPHYLACTICSHOCKRare, but reportedDEATHSNone reportedAssassin bugBed bug*Seven (7) species occur within our local area

Bees and WaspsREACTIONSIMMEDIATEPainLOCALWithin 1-4 hours – Appearanceand subsidence of wheal andred flare; may see intense localswelling in region of stingSYSTEMIC Mild reaction – Generalizedurticaria, itching, malaise,anxiety Moderate reaction – Any ofthe above plus generalizededema, tightness in the chest,wheezing, abdominal pain,nausea, vomiting, dizziness Severe reaction – Any of theabove plus labored breathing,difficulty in swallowing,hoarseness or thickened speech,marked weakness, confusion,feeling of impending disaster Shock – Cyanosis, fall in bloodpressure, collapse, incontinence,unconsciousness Delayed serum-sickness-likereaction (10-14 days after sting)– Fever, lymphadenopathy,malaise, headache, urticaria,polyarthritis, renal dysfunctionTREATMENTLOCAL FIRST AID Remove bee stinger from stingsite by gently scraping witha fingernail, blade, or creditcard to prevent further venominjection from attached venomsac (wasp does not lose itsstinger and can sting more thanonce) Wash site with mild soap andwater Apply ice packs or 10%ammonia solution Apply water and baking sodapaste Elevate and rest involved limbSYSTEMICSee physician for propertreatmentLONG-TERMMANAGEMENT Medic-alert tag or badge Emergency treatment kit andinstructions for use Program for desensitizationHoney BeeANAPHYLAXIS ANDSUDDEN DEATHMany cases reported, usually inadultsYellow jacket

Arizona only) Comparatively harmless species (not neurotoxic) - Local swelling . True Bugs Assassin bug Bed bug IMMEDIATE Usually no sensation, occasionally mild pain LOCAL Four distinct reactions depending on . characteristic “kissing bug bites” .