117. A 12yo girl when playing in the garden accidentally stepped on a hive and was bitten several times

A 12yo girl when playing in the garden accidentally stepped on a hive and was bitten several
times. She has numerous wheals on her body and complains of severe itching. What is the single
most appropriate management?
a. Oral antihistamine
b. IV antihistamine
c. IM adrenaline
d. Oral ciprofloxacin
e. Reassurance
Ans. The given key is C. IM adrenaline which is a wrong key. The correct answer is A. Oral antihistamine.
[Intravenous antihistamines are used as an adjunct to epinephrine in the emergency treatment of anaphylaxis and angioedema. Parenteral antihistamine is not recommended in less severe allergic
reaction (other than anaphylaxis)].
Followings are the indications of adrenaline in anaphylaxis:

  1. Horseness of voice
  2. Wheeze
  3. Shortness of breath
  4. Shock
  5. Stridor
  6. Swelling of the tongue and cheek
  7. Facial swelling