Question

A 24-year-old develops generalised urticaria, wheeze, hypotension (BP 80/50), and stridor minutes after a peanut exposure. What is the best immediate management?

Accepted Answer

Administer 0.3 mg intramuscular epinephrine to the lateral thigh immediately; repeat every 5-15 minutes as needed

Answer

IV diphenhydramine and observe

Answer

High-dose steroids first, then epinephrine

Answer

Nebulised albuterol only

Answer

Start epinephrine infusion only if no rash

Practice question

A 24-year-old develops generalised urticaria, wheeze, hypotension (BP 80/50), and stridor minutes after a peanut exposure. What is the best immediate management?