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Anaphylaxis in pharmacy — GPhC CRA MCQ

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HardAdverse Drug Reactions and SafetyAnaphylaxis in pharmacyGPhC CRA

A 38-year-old woman develops facial swelling and wheeze 20 minutes after taking the first dose of nitrofurantoin supplied for UTI. She is in the pharmacy consultation room. What is the most appropriate action?

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

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Correct answer: B — Call emergency services and administer adrenaline if trained and available under protocol

Facial swelling and wheeze shortly after taking a medicine suggest anaphylaxis. Immediate emergency response is required, including calling emergency services and administering intramuscular adrenaline if trained and available according to local protocol. Antihistamines are not first-line for airway or breathing compromise. Yellow Card reporting may be appropriate later but does not replace emergency care.

Reference: Resuscitation Council UK; BNF; MHRA Yellow Card