Question

A 25-year-old man presents to the emergency department with generalised urticaria, wheeze, hypotension and abdominal pain 10 minutes after eating peanuts. BP is 80/50 mmHg and SpO₂ 90% on room air. According to Australian anaphylaxis guidelines, what is the most appropriate immediate treatment?

Accepted Answer

Intramuscular Adrenaline 0.5 mg (1:1000) into the anterolateral thigh

Answer

Intravenous hydrocortisone as first-line

Answer

Oral antihistamines only

Answer

Nebulised salbutamol only

Answer

Place the patient upright and observe without medications

Practice question

A 25-year-old man presents to the emergency department with generalised urticaria, wheeze, hypotension and abdominal pain 10 minutes after eating peanuts. BP is 80/50 mmHg and SpO₂ 90% on room air. According to Australian anaphylaxis guidelines, what is the most appropriate immediate treatment?