A 60-year-old on propranolol develops refractory anaphylaxis despite two appropriate IM epinephrine doses and fluids. BP remains 80/40 mm Hg. What is ...

Question

A 60-year-old on propranolol develops refractory anaphylaxis despite two appropriate IM epinephrine doses and fluids. BP remains 80/40 mm Hg. What is the next best medication?

Accepted Answer

IV glucagon

Answer

More diphenhydramine

Answer

High-dose inhaled albuterol

Answer

IV ketamine

Answer

IV nitroglycerin

us-abem MCQ (SBA): Anaphylaxis-Beta‑blocker Refractory

A 60-year-old on propranolol develops refractory anaphylaxis despite two appropriate IM epinephrine doses and fluids. BP remains 80/40 mm Hg. What is the next best medication?