Question

A 34-year-old man with anaphylaxis after peanut exposure receives IM epinephrine 0.3 mg in the thigh. Hives and wheeze persist after 5 minutes. Next step?

Accepted Answer

Repeat IM epinephrine at 5-15 minutes

Answer

Observe for 4 hours

Answer

Give IV diphenhydramine only

Answer

Start systemic steroids as sole therapy

Answer

Begin nebulized albuterol only

Practice question

A 34-year-old man with anaphylaxis after peanut exposure receives IM epinephrine 0.3 mg in the thigh. Hives and wheeze persist after 5 minutes. Next step?