A 17-year-old with peanut allergy develops urticaria, wheeze and throat tightness at school. He receives intramuscular epinephrine in triage with

Question

A 17-year-old with peanut allergy develops urticaria, wheeze and throat tightness at school. He receives intramuscular epinephrine in triage with complete resolution. Four hours later he is well, vitals are normal, and he has no asthma history. What is the most appropriate disposition?

Accepted Answer

Discharge after observation with auto-injectors and education

Answer

Keep NPO for endoscopy

Answer

Give oral salbutamol as substitute for epinephrine

Answer

Admit to ICU because one epinephrine dose was given

Answer

Discharge without epinephrine prescription

Resolved anaphylaxis — RCPSC EM MCQ

A 17-year-old with peanut allergy develops urticaria, wheeze and throat tightness at school. He receives intramuscular epinephrine in triage with complete resolution. Four hours later he is well, vitals are normal, and he has no asthma history. What is the most appropriate disposition?