Question

A 28-year-old with anaphylaxis (wheezing, hypotension) after peanut exposure. Weight 80 kg. First-line ED treatment?

Accepted Answer

Epinephrine 0.5 mg IM (1 mg/mL) in the mid-outer thigh, repeat q5-15 min as needed

Answer

Diphenhydramine IV

Answer

Albuterol nebulization only

Answer

Methylprednisolone IV then observe

Answer

H1/H2 blockers and fluids first

Practice question

A 28-year-old with anaphylaxis (wheezing, hypotension) after peanut exposure. Weight 80 kg. First-line ED treatment?