Question

A 27-year-old man with known peanut allergy develops generalised urticaria, throat tightness and wheeze minutes after accidental exposure. BP is 95/60 mmHg, HR 110/min, RR 24/min, oxygen saturation 93% on room air. What is the MOST appropriate first-line treatment?

Accepted Answer

Intramuscular adrenaline 0.5 mg (1:1000) in the mid-anterolateral thigh

Answer

Intravenous hydrocortisone

Answer

Nebulised salbutamol only

Answer

Intravenous chlorpheniramine

Answer

Salbutamol via metered-dose inhaler with spacer

Practice question

A 27-year-old man with known peanut allergy develops generalised urticaria, throat tightness and wheeze minutes after accidental exposure. BP is 95/60 mmHg, HR 110/min, RR 24/min, oxygen saturation 93% on room air. What is the MOST appropriate first-line treatment?