A 50-year-old female is stung by a bee and develops generalised urticaria, facial swelling, and wheeze but maintains a blood pressure of 120/80 mmHg a...

Question

A 50-year-old female is stung by a bee and develops generalised urticaria, facial swelling, and wheeze but maintains a blood pressure of 120/80 mmHg and has no cardiovascular compromise. She has received IM adrenaline 500 micrograms. What second-line medications should be administered?

Accepted Answer

Chlorphenamine 10 mg IV and hydrocortisone 200 mg IV

Answer

Cetirizine 10 mg oral and dexamethasone 6 mg IV

Answer

Promethazine 25 mg IM and methylprednisolone 125 mg IV

Answer

No second-line medications are required if adrenaline has been given

Answer

Ranitidine 50 mg IV and prednisolone 40 mg oral

uk-dipimc MCQ (SBA): Anaphylaxis Second-Line Treatment

A 50-year-old female is stung by a bee and develops generalised urticaria, facial swelling, and wheeze but maintains a blood pressure of 120/80 mmHg and has no cardiovascular compromise. She has received IM adrenaline 500 micrograms. What second-line medications should be administered?