Question 174 · LEK · Anaphylaxis
A 10-year-old girl was admitted to the ER because of generalized urticaria and difficulty in breathing. The symptoms occurred after she was stung by a bee. At the admission it was stated: disseminated urticaria on the skin, symptoms of wheezing on auscultation, breath rate 56/min, heart rate 110/min, RR 75/50 mmHg. Which of the following variants of therapeutic treatment is correct?
- A. intramuscular administration of epinephrine, intravenous access and administration of fluids.
- B. intravenous access, administration of systemic glucocorticosteroids, observation at the ER for 2 hours.
- C. administration of antihistaminics, inhaled beta₂-agonists, and - in the absence of improvement - intravenous access and administration of systemic glucocorticosteroids.
- D. intravenous access, intravenous administration of epinephrine.
- E. intravenous access, administration of systemic glucocorticosteroids and - in the absence of improvement - epinephrine.
Hint
Check whether 75/50 mmHg is normal for a 10-year-old, decide if this is anaphylaxis, then recall the first-line drug and its route.
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