A 10-year-old boy with a known peanut allergy accidentally ingests a biscuit containing peanuts. Ten minutes later he develops widespread urticaria, f...

Question

A 10-year-old boy with a known peanut allergy accidentally ingests a biscuit containing peanuts. Ten minutes later he develops widespread urticaria, facial swelling, wheeze and difficulty speaking full sentences. What is the most appropriate immediate management?

Accepted Answer

Administer intramuscular Adrenaline 500 micrograms (0.5 mL of 1:1000) into the anterolateral thigh and call an ambulance

Answer

Give oral Chlorphenamine and observe

Answer

Apply a cold compress and reassure

Answer

Give IV Hydrocortisone only

Answer

Give a salbutamol inhaler only

uk-plab-1 MCQ (SBA): Paediatric anaphylaxis – first-line therapy

A 10-year-old boy with a known peanut allergy accidentally ingests a biscuit containing peanuts. Ten minutes later he develops widespread urticaria, facial swelling, wheeze and difficulty speaking full sentences. What is the most appropriate immediate management?