Your patient is a seven-year-old girl with a history of bee-sting anaphylaxis. She was stung by a bee and nearly immediately began having difficulty swallowing and breathing. Her father administered her prescribed 0.15 mg epinephrine auto-injector without result. On your arrival, the patient responds to painful stimuli; has labored, rapid, wheezing respirations; a heart rate of 60; and a blood pressure of 92/60 mmHg. Which of the following is the best sequence of treatment for this patient?
A) Administer only epinephrine 1:1,000 IM
B) Administer only diphenhydramine IM
C) Administer diphenhydramine IM and epinephrine 1:1,000 IV
D) Administer both epinephrine 1:10,000 and diphenhydramine intravenously
Question 2
Which of the following is a surgically implanted drainage device that runs from the brain to the abdomen?
A) Tracheostomy tube B) Shunt
C) Central intravenous line D) Gastrostomy tube
Symptoms of anaphylaxis.
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