A 34-year-old man with a 2-day history of generalised urticaria after eating peanuts suddenly develops breathlessness, lip and tongue swelling, and fe...

Question

A 34-year-old man with a 2-day history of generalised urticaria after eating peanuts suddenly develops breathlessness, lip and tongue swelling, and feels faint. He is tachycardic at 122 bpm, blood pressure 80/50 mmHg, respiratory rate 30 breaths/min, and oxygen saturation 90% on air with widespread wheeze. What is the most appropriate immediate treatment?

Accepted Answer

Intramuscular Adrenaline 0.5 mg (1:1000) into the anterolateral thigh

Answer

Intravenous Chlorphenamine

Answer

Intravenous Hydrocortisone 100 mg

Answer

Nebulised Salbutamol only

Answer

Oral Prednisolone

uk-plab-1 MCQ (SBA): Anaphylaxis