A 6-year-old boy weighing 20 kg with known peanut allergy develops generalised urticaria, lip swelling, hoarse voice and wheeze within minutes of eati...

Question

A 6-year-old boy weighing 20 kg with known peanut allergy develops generalised urticaria, lip swelling, hoarse voice and wheeze within minutes of eating a biscuit at school. There is no intravenous access. According to Canadian anaphylaxis guidance, what is the most appropriate initial treatment?

Accepted Answer

Intramuscular Adrenaline 0.01 mg/kg in the anterolateral thigh

Answer

Oral antihistamine only

Answer

Nebulised Salbutamol only

Answer

Intravenous Adrenaline bolus

Answer

High dose corticosteroids alone

ca-mccqe1 MCQ (SBA): Paediatric anaphylaxis

A 6-year-old boy weighing 20 kg with known peanut allergy develops generalised urticaria, lip swelling, hoarse voice and wheeze within minutes of eating a biscuit at school. There is no intravenous access. According to Canadian anaphylaxis guidance, what is the most appropriate initial treatment?