Question

A 35-year-old with anaphylaxis (hypotension, wheeze, urticaria) after a peanut exposure is in the ED. What is the immediate first-line treatment and dose?

Accepted Answer

Epinephrine 0.3-0.5 mg IM (1 mg/mL) in the anterolateral thigh; repeat as needed

Answer

Diphenhydramine 50 mg IV followed by steroids

Answer

Nebulized albuterol then IV epinephrine if refractory

Answer

IV epinephrine bolus 1 mg

Answer

H1/H2 blockers and fluids, then epinephrine if no improvement

Practice question

A 35-year-old with anaphylaxis (hypotension, wheeze, urticaria) after a peanut exposure is in the ED. What is the immediate first-line treatment and dose?