A 24-year-old with anaphylaxis (hives, wheeze, hypotension) in clinic is conscious. What is the first-line treatment and dose for adults?...

Question

A 24-year-old with anaphylaxis (hives, wheeze, hypotension) in clinic is conscious. What is the first-line treatment and dose for adults?

Accepted Answer

Place patient supine and observe without medication

Answer

IM epinephrine 0.3-0.5 mg of 1 mg/mL (1:1000) in the mid-anterolateral thigh, repeat every 5-15 min as needed

Answer

IV diphenhydramine 50 mg

Answer

Nebulized albuterol only

Answer

High-dose steroids first, then epinephrine

us-abem MCQ (SBA): Anaphylaxis