A 9-year-old boy receives a routine vaccination at a public health clinic and 10 minutes later develops generalised urticaria, wheeze and hypotension....

Question

A 9-year-old boy receives a routine vaccination at a public health clinic and 10 minutes later develops generalised urticaria, wheeze and hypotension. What is the most appropriate immediate treatment?

Accepted Answer

Administer intramuscular adrenaline 0.01 mg/kg of 1:1000 solution into the anterolateral thigh and call for help.

Answer

Give an oral antihistamine and observe.

Answer

Administer intravenous hydrocortisone only.

Answer

Place him in a sitting position and provide oxygen only.

Answer

Obtain serum tryptase first to confirm anaphylaxis before treating.

ca-mccqe1 MCQ (SBA): Anaphylaxis after vaccination

A 9-year-old boy receives a routine vaccination at a public health clinic and 10 minutes later develops generalised urticaria, wheeze and hypotension. What is the most appropriate immediate treatment?