Intradermal tests that attempt to predict a possible allergic reaction to equine proteins the species in which antivenoms are produced in Costa Rica and in most production centers have been abandoned internationally due to their lack of sufficient predictive value.However, once envenoming in the patient, either by a vipid or an elapid, has been established, the urgent administration of the respective treatment is performed with all necessary care, in order to address potential immediate adverse reactions.
El clínico no requiere conocer cuál fue la especie particular de serpiente que ocasionó el envenenamiento, sino solo distinguir si este fue causado por un vipérido o por un elápido, para aplicar el antiveneno polivalente o el anticoral, respectivamente.