Question 489 · LEK · Anaphylaxis
A 38-year-old female was administered intravenous ciprofloxacin infusion due to acute pyelonephritis. Shortly after the infusion start, the patient complained of heat sensation and scratchy throat. Physical examination revealed stridor, blood pressure of 70/58 mmHg and then below detection limits. Aside from withholding the infusion, first of all the patient should be administered:
- A. adrenaline (epinephrine) 0.5 mg intramuscularly;.
- B. adrenaline (epinephrine) 0.5 mg intravenously;.
- C. 500 mL 0,9% NaCl intravenous bolus;.
- D. clemastine 1.0 mg intravenously;.
- E. hydrocortisone 100 mg intravenously.
Hint
Identify the first-line drug in anaphylaxis and the route that is both effective and safe outside a monitored cardiac arrest setting.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Internal medicine
- Indicate true statements regarding spontaneous bacterial peritonitis:
- Screening for type 2 diabetes is indicated once every 3 years in individuals who:
- In a patient presenting with Charcot’s triad, imaging studies revealed choledocholithiasis with bile duct dilation. Indicate antibiotic of choice:
- In a male with heart failure and left ventricular ejection fraction of 35%, the use of angiotensin-converting enzyme (ACE) inhibitors is indicated…
- A 58-year-old female, during diagnostics for abnormal blood glucose levels, reported noticing a substantial increase in her shoe size. Upon further…
- A 64-year-old male presented at the Emergency Department due to a stabbing chest pain, accompanied by fever up to 38 degrees Celsius and a dry…