A 43year old male develops acute facial swelling and dyspnoea following a second dose of morphne for cancer related pain

A 43year old male develops acute facial swelling and dyspnoea following a second dose of morphne for cancer related pain. On examination, he is breathless and has angio-oedema of the face, eyes and lips. Which of the following is the most appropriate initial treatment of this patient?

  • Epinephrine/adrenaline administered as 500 mcg i.v.
  • Epinephrine/adrenaline administered as 500 mcg (0.5 mls of 1mg/ml i.e. 1:1000) i.m.
  • Epinephrine/adrenaline at 500 mcg 1:10,000 conc. i.v.
  • Epinephrine/adrenaline 1:5000 conc. subcut.
  • Epinephrine/adrenaline 1:5000 conc. i.m.

0 voters