QuestionSBA
QuestionChoice
This is most likely an anaphylactic reaction to this child's first exposure to a penicillin antibiotic. The child is showing respiratory distress and circulatory dysfunction and require urgent treatment with adrenaline. In children aged 6-12 years, the recommended dose is 300 micrograms and it is given intramuscularly.
10028522
a
Adrenaline 300 micrograms IM STAT
QuestionChoice
This is the correct drug and dose however adrenaline should be given intramuscularly in this circumstance. It can be given intravenously by specialists however the dose for this is 1 microgram/kg.
10028523
b
Adrenaline 300 micrograms IV STAT
QuestionChoice
This is the correct drug and route however it should be in *micrograms* not *milligrams*.
10028524
c
Adrenaline 300 milligrams IM STAT
QuestionChoice
This is the correct dose for children >12 and adults.
10028526
e
Adrenaline 500 micrograms IM STAT
QuestionChoice
This is the correct dose for children younger than 6 years of age.
10028525
d
Adrenaline 150 micrograms IM STAT
Concept
Chapter
2693
6082
Anaphylaxis
Topic
161
Emergency Medicine
18107
Case Presentation: A 7-year-old boy in the emergency department collapses after being given oral amoxicillin.



**On examination** Wheezy and breathless. CRT 3s, HR 101/min, BP 70/50 mmHg

Question: Select the most appropriate option for management of this adverse treatment reaction.
a