Question

A 35-year-old woman with a known peanut allergy accidentally ingests peanuts and develops generalised urticaria, throat tightness, hoarse voice and wheeze. She is in a general practice waiting room. Blood pressure is 90/60 mmHg and she feels faint. What is the most appropriate immediate management?

Accepted Answer

Give intramuscular adrenaline into the mid-lateral thigh and lay her flat, then call an ambulance

Answer

Give intravenous chlorphenamine and observe

Answer

Provide salbutamol via nebuliser only

Answer

Give oral prednisolone and monitor

Answer

Allow her to stand and walk to the ambulance for rapid transfer

Practice question

A 35-year-old woman with a known peanut allergy accidentally ingests peanuts and develops generalised urticaria, throat tightness, hoarse voice and wheeze. She is in a general practice waiting room. Blood pressure is 90/60 mmHg and she feels faint. What is the most appropriate immediate management?