A 24-year-old woman presents to her GP with a generalised pruritic erythematous rash and wheeze 10 minutes after a bee sting. She is hypotensive (BP 8...

Question

A 24-year-old woman presents to her GP with a generalised pruritic erythematous rash and wheeze 10 minutes after a bee sting. She is hypotensive (BP 80/45 mmHg), tachycardic (HR 120 beats/min) and has widespread urticaria. What is the most appropriate immediate management?

Accepted Answer

Administer intramuscular adrenaline into the lateral thigh

Answer

Give chlorphenamine intramuscularly and observe

Answer

Give salbutamol via nebuliser as first-line therapy

Answer

Start an intravenous adrenaline infusion without a bolus

Answer

Lie her upright and give oxygen only

au-acem MCQ (SBA): Anaphylaxis

A 24-year-old woman presents to her GP with a generalised pruritic erythematous rash and wheeze 10 minutes after a bee sting. She is hypotensive (BP 80/45 mmHg), tachycardic (HR 120 beats/min) and has widespread urticaria. What is the most appropriate immediate management?