Question

A 32-year-old woman collapses in the emergency department with generalised urticaria, wheeze and stridor shortly after receiving intravenous Co-amoxiclav. Her BP is 78/40 mmHg, pulse 132 bpm and she is conscious but agitated. What is the most appropriate immediate treatment?

Accepted Answer

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

Answer

Intravenous Chlorphenamine and Hydrocortisone.

Answer

Nebulised high-dose Salbutamol via oxygen-driven nebuliser.

Answer

Intravenous Adrenaline bolus 1 mg (1 in 10 000).

Answer

High-flow oxygen and rapid infusion of 1 L 0.9% sodium chloride alone.

Practice question

A 32-year-old woman collapses in the emergency department with generalised urticaria, wheeze and stridor shortly after receiving intravenous Co-amoxiclav. Her BP is 78/40 mmHg, pulse 132 bpm and she is conscious but agitated. What is the most appropriate immediate treatment?