Question

A 38-year-old woman reports severe immediate allergy symptoms after a restaurant meal: urticaria, wheeze, hypotension. First-line out-of-hospital treatment?

Accepted Answer

Epinephrine 0.3-0.5 mg IM (1 mg/mL) into lateral thigh

Answer

Diphenhydramine 50 mg orally

Answer

Methylprednisolone 125 mg IV

Answer

Albuterol nebulizer alone

Answer

IV fluids only

Practice question

A 38-year-old woman reports severe immediate allergy symptoms after a restaurant meal: urticaria, wheeze, hypotension. First-line out-of-hospital treatment?