Eclampsia — DipIMC MCQ

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HardPaediatric and Obstetric EmergenciesEclampsiaDipIMC

A 9-year-old, approximately 30 kg, has wheeze, lip swelling, SpO2 92%, pulse 140/min and systolic BP 78 mmHg after eating nuts. What is the most appropriate immediate dose of adrenaline?

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Correct answer: D — IM 300 micrograms

The best answer is “IM 300 micrograms”. This is anaphylaxis with respiratory and circulatory compromise. Resuscitation Council UK age-based guidance recommends 300 micrograms IM adrenaline for children aged 6 to 12 years. Weight can inform clinical judgement, but the specified age band provides a clear UK emergency dose. Lower and higher IM doses correspond to other age groups; IV 1 mg is an arrest dose.

Reference: Resuscitation Council UK, Emergency treatment of anaphylaxis: https://www.resus.org.uk/library/additional-guidance/guidance-anaphylaxis/emergency-treatment-anaphylactic-reactions