A 58-year-old with suspected anaphylaxis received one dose of IM epinephrine with partial improvement. Ten minutes later symptoms recur. Next step?...

Question

A 58-year-old with suspected anaphylaxis received one dose of IM epinephrine with partial improvement. Ten minutes later symptoms recur. Next step?

Accepted Answer

Give second IM epinephrine dose and prepare for infusion if refractory

Answer

Start IV diphenhydramine only

Answer

Start methylprednisolone and avoid more epinephrine

Answer

Start nebulized albuterol only

Answer

Observe without intervention

us-abem MCQ (SBA): Anaphylaxis