Question 79 · LDEK · Shock and anaphylaxis

Which of the following is the first-line treatment in the case of severe anaphylaxis with the signs of shock which occurred as a consequence of a wasp sting?

  1. A. 0.9% NaCl solution in a quick infusion in a dose of 20 mL/kg.
  2. B. hydrocortisone in a dose of 200 mg i.v.
  3. C. dexamethasone in a dose of 8 mg i.m. or i.v.
  4. D. epinephrine in a dose of 0.5 mg i.m. or i.v.
  5. E. clemastine in a dose of 2 mg i.v.
Hint

Whatever the trigger, anaphylactic shock has one first-line drug; fluids, steroids and antihistamines come afterwards.

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