Question

A 29-year-old with diffuse urticaria, wheeze, hypotension (BP 78/40) after a peanut exposure. Optimal first-line treatment and dose?

Accepted Answer

Epinephrine 0.3-0.5 mg IM (1 mg/mL) in the lateral thigh

Answer

Diphenhydramine 50 mg IV

Answer

Prednisone 60 mg PO

Answer

Racemic epinephrine nebulization

Answer

Albuterol nebulization only

Practice question

A 29-year-old with diffuse urticaria, wheeze, hypotension (BP 78/40) after a peanut exposure. Optimal first-line treatment and dose?