Question

A 27-year-old woman presents to the emergency department with generalised urticaria, wheeze, hoarse voice and hypotension (BP 80/40 mmHg) 15 minutes after a bee sting. She weighs 70 kg. After placing her supine with legs elevated, what is the most appropriate initial drug treatment?

Accepted Answer

Intramuscular adrenaline 0.5 mg (0.5 mL of 1:1000) into the lateral thigh

Answer

Intravenous chlorphenamine 10 mg

Answer

Intramuscular adrenaline 0.3 mg (0.3 mL of 1:1000) into the lateral thigh

Answer

Intravenous hydrocortisone 200 mg

Answer

Nebulised salbutamol 5 mg

Practice question

A 27-year-old woman presents to the emergency department with generalised urticaria, wheeze, hoarse voice and hypotension (BP 80/40 mmHg) 15 minutes after a bee sting. She weighs 70 kg. After placing her supine with legs elevated, what is the most appropriate initial drug treatment?