Question

A 26-year-old with a peanut allergy develops urticaria, wheeze, and hypotension (BP 78/46) minutes after accidental ingestion. What is the most important immediate treatment?

Accepted Answer

IM epinephrine 0.3-0.5 mg (1 mg/mL) into the lateral thigh

Answer

IV diphenhydramine 50 mg

Answer

IV methylprednisolone 125 mg

Answer

Nebulized albuterol only

Answer

Start a continuous epinephrine infusion without IM dosing

Practice question

A 26-year-old with a peanut allergy develops urticaria, wheeze, and hypotension (BP 78/46) minutes after accidental ingestion. What is the most important immediate treatment?