A 29-year-old man presents with urticaria and hypotension minutes after bee sting. After first IM epinephrine, he remains hypotensive. Next best step?...

Question

A 29-year-old man presents with urticaria and hypotension minutes after bee sting. After first IM epinephrine, he remains hypotensive. Next best step?

Accepted Answer

Give a second IM epinephrine dose after 5-15 minutes

Answer

IV diphenhydramine

Answer

Nebulised albuterol

Answer

Start epinephrine infusion only if third dose fails

Answer

IV methylprednisolone 125 mg

aaaai/acaai practice parameter (2023): anaphylaxis MCQ (SBA): Anaphylaxis

A 29-year-old man presents with urticaria and hypotension minutes after bee sting. After first IM epinephrine, he remains hypotensive. Next best step?