Question

A 28-year-old 75‑kg adult develops anaphylaxis after a peanut exposure with hypotension and wheeze. What is the immediate first-line treatment and dose?

Accepted Answer

IM epinephrine 0.3 mg of 1 mg/mL into the anterolateral thigh, repeat every 5-15 min as needed

Answer

IV diphenhydramine 50 mg

Answer

Nebulized albuterol only

Answer

IM epinephrine 0.15 mg in the deltoid

Answer

IV epinephrine bolus 1 mg

Practice question

A 28-year-old 75‑kg adult develops anaphylaxis after a peanut exposure with hypotension and wheeze. What is the immediate first-line treatment and dose?