Question

A 36-year-old presents 1 hour after a witnessed anaphylactic reaction to a peanut-containing dessert: hypotension 82/48 mm Hg, wheeze, urticaria. Best immediate action?

Accepted Answer

IM epinephrine 0.3-0.5 mg of 1 mg/mL to mid-outer thigh

Answer

IV diphenhydramine 50 mg

Answer

Nebulised albuterol followed by steroids

Answer

IV methylprednisolone 125 mg

Answer

Place supine and observe only if symptoms improve spontaneously

Practice question

A 36-year-old presents 1 hour after a witnessed anaphylactic reaction to a peanut-containing dessert: hypotension 82/48 mm Hg, wheeze, urticaria. Best immediate action?