After eating a cookies at a garden party, a child began to cough and went blue

After eating a cookie at a garden party, a child began to cough and went blue. The mother also
noticed that there were swollen patches on the skin. What is the initial management?
a. OTC antihistamine
b. Oxygen
c. Bronchodilators
d. Epinephrine IM
e. Nebulized epinephrine

Ans. The key is D. Epinephrine IM [anaphylaxis with partially blocked airway].