A 59-year-old man is brought to the emergency department by ambulance with sudden-onset central chest tightness, wheeze, urticaria and facial swelling...

Question

A 59-year-old man is brought to the emergency department by ambulance with sudden-onset central chest tightness, wheeze, urticaria and facial swelling occurring 20 minutes after a bee sting. He is hypotensive at 75/40 mmHg, tachycardic and has audible wheeze with stridor. What is the single most important immediate treatment?

Accepted Answer

Adrenaline 500 micrograms intramuscularly into the anterolateral thigh

Answer

Chlorphenamine intramuscularly

Answer

Hydrocortisone intravenously

Answer

Salbutamol nebuliser via oxygen

Answer

Intravenous fluids only

uk-plab-1 MCQ (SBA): Anaphylaxis