A 24-year-old woman with a history of atopy presents with generalised urticaria, lip swelling, wheeze and hypotension (BP 80/50 mmHg) 10 minutes after...

Question

A 24-year-old woman with a history of atopy presents with generalised urticaria, lip swelling, wheeze and hypotension (BP 80/50 mmHg) 10 minutes after eating peanuts. She is conscious but dizzy. What is the most appropriate initial treatment?

Accepted Answer

IM adrenaline 0.5 mg into the mid anterolateral thigh

Answer

IV hydrocortisone alone

Answer

Oral antihistamines only

Answer

IV adrenaline bolus 1 mg

Answer

Place her supine and observe without medications

au-amc MCQ (SBA): Anaphylaxis

A 24-year-old woman with a history of atopy presents with generalised urticaria, lip swelling, wheeze and hypotension (BP 80/50 mmHg) 10 minutes after eating peanuts. She is conscious but dizzy. What is the most appropriate initial treatment?