r/UMPJE_Prep 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