Question

A 33-year-old man with known peanut allergy accidentally ingests peanuts and rapidly develops urticaria, throat tightness, wheeze and hypotension (BP 80/50 mm Hg). According to anaphylaxis management principles, what is the most important initial treatment?

Accepted Answer

Intramuscular adrenaline 0.5 mg into the mid-anterolateral thigh

Answer

Intravenous chlorpheniramine

Answer

Oral prednisone 50 mg

Answer

Nebulised salbutamol only

Answer

High-flow oxygen without medication

Practice question

A 33-year-old man with known peanut allergy accidentally ingests peanuts and rapidly develops urticaria, throat tightness, wheeze and hypotension (BP 80/50 mm Hg). According to anaphylaxis management principles, what is the most important initial treatment?