Question

A 24-year-old develops hypotension, wheeze, and urticaria minutes after peanut ingestion. Best immediate management?

Accepted Answer

Epinephrine 1 mg IV push immediately

Answer

Epinephrine 0.3-0.5 mg IM anterolateral thigh; repeat every 5-15 min as needed

Answer

Diphenhydramine 50 mg IV first

Answer

Methylprednisolone 125 mg IV first

Answer

Albuterol nebulizer only

Practice question

A 24-year-old develops hypotension, wheeze, and urticaria minutes after peanut ingestion. Best immediate management?