Q:

A patient presented after eating a seafood dish at a local restaurant. He complains of difficulty in breathing. His speech is slurred and his BP is 85/55mmHg. What would be the most appropriate next step?

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A patient presented after eating a seafood dish at a local restaurant. He complains of difficulty in breathing. His speech is slurred and his BP is 85/55mmHg. What would be the most appropriate next step?


  1. IV adrenaline
  2. IM adrenaline
  3. SC adrenaline
  4. PO chlorpheniramine
  5. IV chlorpheniramin

All Answers

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The key is B. IM adrenaline. [Patient is getting anaphylactic shock with difficulty of breathing and slurred speech (probably from tongue swelling) which are indications of IM adrenaline].

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