A 22-year-old woman with a known peanut allergy develops generalised urticaria, lip swelling, hoarse voice and dyspnoea within minutes of accidental p...

Question

A 22-year-old woman with a known peanut allergy develops generalised urticaria, lip swelling, hoarse voice and dyspnoea within minutes of accidental peanut ingestion. Blood pressure is 90/60 mm Hg and respiratory rate 28 breaths per minute. What is the most important immediate treatment?

Accepted Answer

Intramuscular adrenaline into the anterolateral thigh.

Answer

Intravenous antihistamine and corticosteroid.

Answer

Nebulised salbutamol only.

Answer

Oral corticosteroids and observation.

Answer

Start intravenous fluids only and observe.

ca-mccqe1 MCQ (SBA): Anaphylaxis

A 22-year-old woman with a known peanut allergy develops generalised urticaria, lip swelling, hoarse voice and dyspnoea within minutes of accidental peanut ingestion. Blood pressure is 90/60 mm Hg and respiratory rate 28 breaths per minute. What is the most important immediate treatment?