Acute Caremiddle twist
A 28-year-old man is stung by a bee in a hospital car park. In the emergency department he has generalised urticaria, audible wheeze and a blood pressure of 84/50 mmHg. He is laid flat and given adrenaline 0.5 mg intramuscularly into the anterolateral thigh. Twenty-five minutes later the wheeze has gone, the weals are fading, his blood pressure is 118/70 mmHg and his heart rate is 88/min. He says he feels completely well and asks to walk to the toilet. Which one of the following is the most appropriate response to his request?