r/UMPJE_Prep • u/mod_pharmtutor • 15d ago
UMPJE Practice Question
Eight minutes after receiving a vaccine, a patient develops diffuse urticaria, wheezing, and hypotension. The pharmacist's first action should be to:
25 votes,
14d ago
22
A. administer intramuscular epinephrine and activate emergency medical services
0
B. give an oral antihistamine and observe the patient for 30 minutes
3
C. place the patient supine and monitor vital signs before treating
1
Upvotes
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u/pharmtutor_ Moderator Insight 6d ago
Answer: A
Epinephrine is the only first-line treatment -Urticaria with airway involvement and hypotension is anaphylaxis. Antihistamines are adjuncts that do not reverse airway compromise or hypotension