Medical Emergencies · single question

Shortly after a local-anesthetic injection an asthmatic patient develops wheezing and lip swelling (anaphylaxis). The first-line drug is:

  1. Diphenhydramine
  2. An albuterol inhaler
  3. Epinephrine (auto-injector)
  4. Hydrocortisone
Show answer and explanation

Correct answer: C. Epinephrine (auto-injector)

  • A. Antihistamines are adjuncts, not the first-line for anaphylaxis.
  • B. Albuterol treats bronchospasm but not the systemic anaphylactic reaction.
  • C. Correct. Intramuscular epinephrine is the first-line treatment for anaphylaxis.
  • D. Corticosteroids act too slowly to be first-line.

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