A 15 mo girl with a known allergy to peanuts was brought into the ED after eating a cookie at restaurant. She vomited once prior to the arrival.
She shows T 37ºC HR 145 RR 36 BP 65/35 SpO2 99 % on RA.
She is sleepy but arousable. There is no obvious urticaria or angioedema. There is no wheeze on auscultation. Her heart sounds are normal, and she has a capillary refill time of 2-3 seconds
What is the most appropriate next step in management?
- 20 ml/kg bolus IV normal saline
- 0.01 mg/kg (1mg/ml) IM epinephrine
- 0.01 mg/kg (1mg/ml) IV epinephrine
- Ondansetron followed by PO rehydration
This question appears in Med-Challenger Pediatric Emergency Medicine Review 3rd Edition with CME.
No matter your program, no matter the size, Med-Challenger for Groups and Institutions can better prepare your program or group, fulfill industry requirements, and increase test scores.
For personal medical education that includes board's prep, MOC, and CME requirements, Med-Challenger has you covered in Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics, Pediatric Emergency Medicine, OBGYN, Physician Assistants, and Nurse Practitioners.