45 year post-menopausal female presented to emergency with a history of snake bite on left foot with history of tourniquet application at ankle. History of altered sensorium, sluggish responses, history of single episode of vomiting, no history of ptosis, diplopia, shortness of breath. Patient given another 100 units antisnake venom with premedication and continued to be monitored in intensive care unit the patient susequently deteriorated and had cardiorespiratory arrest.