Monitor for these carefully from the outset, they generally develop very quickly and dramatically. These symptoms typically manifest within 15 minutes to 4 hours following the bite if envenomation occurred. However, in some cases they may represent the only indication of clinical envenomation. Acute Renal Failure has not yet been reported in cases of Forest Cobra bites in humans. Oliguria or Anuria with possible changes in urinary composition will herald the development of renal shutdown.
Dialysis is advised.
Direct toxic effects on the myocardium or conducting system have not yet been reported in Forest Cobra envenomation. However, effects on the nervous or vascular systems may manifest as cardiac complications. Monitoring of cardiac function and rhythm is advised. Local necrosis with tissue slough may also be possible. Fang marks may be present as one or more well defined punctures, as a series of small lacerations or scratches, or there may not be any noticeable or obvious markings where the bite occurred.