Question

A 19-year-old man with a history of peanut allergy accidentally ingests peanuts and develops generalised urticaria, facial swelling, wheeze and dizziness. Blood pressure is 85/50 mmHg and pulse 120 beats/min. According to ASCIA guidelines, what is the most appropriate initial treatment?

Accepted Answer

Intramuscular adrenaline 0.01 mg/kg (maximum 0.5 mg) into the lateral thigh

Answer

Intravenous chlorphenamine

Answer

Oral prednisolone

Answer

Nebulised salbutamol alone

Answer

Intravenous fluid bolus only

Practice question

A 19-year-old man with a history of peanut allergy accidentally ingests peanuts and develops generalised urticaria, facial swelling, wheeze and dizziness. Blood pressure is 85/50 mmHg and pulse 120 beats/min. According to ASCIA guidelines, what is the most appropriate initial treatment?