Insect:  Remove stinger, if present, with a scraping motion of the fingernail.  Apply a cold compress.

Call the office if …

1. Hives (a generalized raised red rash).
2. Mild difficult breathing or wheezing or “tightness “ in chest, nose or throat.
3. Nausea or vomiting, and or collapse.

Call 911 if…      Severe difficulty breathing or collapse

Human or Animal:  Wash with clean water and soap.  (Follow Cuts, Scrapes and Bleeding instructions).

Call office if…

1. Unknown dog or cat or if it is a wild animal.
2. Increasing redness or pain at the site of the bite over the next 24 hours.

*NOTE: Protection against tetanus should be considered whenever the skin is broken, if last tetanus vaccine was greater than 5 years ago.