A 25-year-old woman suddenly develops generalised urticaria, lip swelling, wheeze and hypotension (blood pressure 80/40 mmHg) 10 minutes after a bee s...

Question

A 25-year-old woman suddenly develops generalised urticaria, lip swelling, wheeze and hypotension (blood pressure 80/40 mmHg) 10 minutes after a bee sting. She weighs 70 kg. What is the most appropriate initial dose and route of adrenaline?

Accepted Answer

0.5 mg intramuscular adrenaline (1:1000) into the anterolateral thigh

Answer

0.5 mg intravenous adrenaline (1:1000) bolus

Answer

0.3 mg intramuscular adrenaline (1:10,000) into the buttock

Answer

0.05 mg subcutaneous adrenaline (1:1000) into the upper arm

Answer

Adrenaline is contraindicated; give only antihistamines

au-amc MCQ (SBA): Anaphylaxis

A 25-year-old woman suddenly develops generalised urticaria, lip swelling, wheeze and hypotension (blood pressure 80/40 mmHg) 10 minutes after a bee sting. She weighs 70 kg. What is the most appropriate initial dose and route of adrenaline?