A 22-year-old man is brought in 20 minutes after eating a satay skewer at a food van. On arrival he had widesp…

Question

A 22-year-old man is brought in 20 minutes after eating a satay skewer at a food van. On arrival he had widespread welts, audible wheeze and a blood pressure of 76/44 mmHg, and adrenaline 0.5 mg was given intramuscularly into the mid-anterolateral thigh six minutes ago. He now feels much better: the wheeze has settled, blood pressure is 106/64 mmHg, pulse 96 beats per minute and oxygen saturation 98% on room air. He is sitting upright on the trolley, says he feels embarrassed, and asks when he c…

Accepted Answer

Keep him lying flat with his legs raised

Answer

Commence an infusion of sodium chloride 0.9%

Answer

Give a further 0.5 mg of adrenaline intramuscularly

Answer

Observe him for four hours after the last adrenaline dose

Answer

Supply an adrenaline autoinjector before discharge

More from Acute Care