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Anaphylaxis — DCH MCQ

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EasyPaediatric emergenciesAnaphylaxisDCH

A 6-year-old with peanut allergy develops wheeze, lip swelling and vomiting 10 minutes after eating a biscuit. Oxygen saturation is 94%, heart rate 140/min, and he is frightened. What is the most appropriate management?

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

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Correct answer: D — Give intramuscular adrenaline

Airway or breathing features with gastrointestinal symptoms after allergen exposure indicate anaphylaxis and require intramuscular adrenaline. Antihistamines and steroids are adjuncts and should not delay adrenaline. The pearl is to place the child appropriately, call for help and repeat adrenaline if symptoms persist.

Reference: Resuscitation Council UK Anaphylaxis; BNFc