Question

A 15-year-old boy with known peanut allergy collapses at school shortly after eating a biscuit. He has facial swelling, widespread urticaria, hoarse voice and wheeze. BP is 80/45 mmHg, pulse 130 bpm, SpO₂ 90% on room air. What is the most appropriate initial treatment?

Accepted Answer

IM adrenaline 0.01 mL/kg of 1:1000 (max 0.5 mL) into the lateral thigh

Answer

IV chlorphenamine

Answer

Nebulised salbutamol

Answer

IV hydrocortisone

Answer

High-flow oxygen only

Practice question

A 15-year-old boy with known peanut allergy collapses at school shortly after eating a biscuit. He has facial swelling, widespread urticaria, hoarse voice and wheeze. BP is 80/45 mmHg, pulse 130 bpm, SpO₂ 90% on room air. What is the most appropriate initial treatment?