A 40-year-old man is admitted to ICU with anaphylactic shock following IV antibiotic administration. He has widespread urticaria, angioedema, stridor,...

Question

A 40-year-old man is admitted to ICU with anaphylactic shock following IV antibiotic administration. He has widespread urticaria, angioedema, stridor, wheeze, and hypotension (BP 60/30 mmHg). HR 140 bpm. What is the correct first-line treatment?

Accepted Answer

IM adrenaline 500 mcg (0.5 mL of 1:1000) into the anterolateral thigh

Answer

IV chlorphenamine 10 mg and IV hydrocortisone 200 mg

Answer

IV adrenaline 1 mg (1:10,000) bolus

Answer

Nebulised adrenaline 5 mg

Answer

IV crystalloid 2 litres rapid bolus

uk-fficm MCQ (SBA): Anaphylactic Shock

A 40-year-old man is admitted to ICU with anaphylactic shock following IV antibiotic administration. He has widespread urticaria, angioedema, stridor, wheeze, and hypotension (BP 60/30 mmHg). HR 140 bpm. What is the correct first-line treatment?