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Paediatric anaphylaxis — DipIMC MCQ

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EasyMedical EmergenciesPaediatric anaphylaxisDipIMC

A 7-year-old child develops urticaria, wheeze and lip swelling after a wasp sting at a park. She is alert but pale and tachycardic. What is the most appropriate drug/dose?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Adrenaline 300 micrograms IM using 1 mg/mL solution

A child aged 6–12 years with anaphylaxis should receive 300 micrograms of IM adrenaline using 1 mg/mL solution. The adult 500 microgram dose is used for those over 12 years in standard age-banded guidance. Antihistamines and bronchodilators do not treat circulatory collapse. The pearl is that age-banded dosing is designed for rapid safe treatment when exact weight is not immediately known.

Reference: Resuscitation Council UK Anaphylaxis Guidance 2021; JRCALC Guidelines 2025