A 34-year-old with a history of severe anaphylaxis to peanut ingestion presents with urticaria, wheeze, and hypotension (BP 80/40 mm Hg). What is the ...

Question

A 34-year-old with a history of severe anaphylaxis to peanut ingestion presents with urticaria, wheeze, and hypotension (BP 80/40 mm Hg). What is the first-line treatment and dose?

Accepted Answer

Epinephrine 0.3-0.5 mg IM in the anterolateral thigh

Answer

Diphenhydramine 50 mg IV

Answer

Methylprednisolone 125 mg IV

Answer

Albuterol nebulizer only

Answer

Epinephrine 1 mg IV push

Anaphylaxis — MRCEM SBA MCQ

A 34-year-old with a history of severe anaphylaxis to peanut ingestion presents with urticaria, wheeze, and hypotension (BP 80/40 mm Hg). What is the first-line treatment and dose?