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Question no. 60728

What is the immediate medication of choice for treating acute anaphylaxis? _____________?

Select your answer for: What is the immediate medication of choice for treating acute anaphylaxis? _____________?
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Answer: A. Epinephrine

Explanation

Acute anaphylaxis causes life-threatening bronchospasm, laryngeal edema, and profound systemic vasodilation. Epinephrine acts rapidly as an alpha and beta adrenergic agonist to reverse these dangerous physiological changes. Prompt administration of this medication is the primary life-saving intervention required during anaphylactic shock. Anaphylaxis is a severe, systemic IgE-mediated hypersensitivity reaction triggered by allergens like insect venom or foods. Alpha-1 adrenergic stimulation constricts blood vessels to raise blood pressure and reduce mucosal swelling. Beta-2 adrenergic activation relaxes bronchial smooth muscle to open airways and improve oxygen exchange in the lungs.

Patients with known severe allergies carry auto-injectors containing epinephrine for emergency self-administration. Emergency medical personnel prioritize immediate intramuscular injection of epinephrine over secondary medications in shock. Delayed administration of epinephrine during an anaphylactic event significantly increases the risk of fatal outcomes. Option B lists steroids, which have a slow onset of action and cannot stop acute airway closure immediately. Option C names antihistamines, which help with mild allergic itching but do not reverse life-threatening hypotension. Option D refers to antibiotics, which treat bacterial infections and play no role in reversing acute allergic shock.

Subject
Medical
Category
Medical
Topic
—
Difficulty
medium

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