The correct answer is C. Administer epinephrine.
This patient is presenting with classic signs of anaphylaxis, a life-threatening allergic reaction:
Dyspnea (respiratory distress)
Facial swelling (angioedema)
Recent exposure to a likely allergen (food)
Why C is correct (Epinephrine):
Epinephrine is the first-line, life-saving treatment for anaphylaxis. It works by:
Dilating bronchioles (improving breathing)
Constricting blood vessels (improving blood pressure)
Reducing airway swelling
NREMT-aligned guidelines state:
“Administer epinephrine immediately in patients with signs of anaphylaxis.”
“Do not delay epinephrine administration in life-threatening allergic reactions.”
Why the other options are incorrect:
A. Provide oxygen: Important, but not the priority over epinephrine in anaphylaxis.
B. Initiate rapid transport: Necessary, but after immediate life-saving intervention.
D. Obtain vital signs: Should not delay treatment in a critical patient.
Key Concept:
In anaphylaxis, epinephrine is the first and most critical intervention.
Delays in administration significantly increase mortality risk.
Exact Extracts:
“Epinephrine is the drug of choice for anaphylaxis.”
“Immediate administration is critical in respiratory distress with allergic reactions.”
“Airway swelling and bronchoconstriction must be rapidly treated.”
[References:, NREMT EMT Education Standards – Medical Emergencies (Allergic Reactions) , NREMT National Continued Competency Program (NCCP) – Medical Emergencies , Prehospital Emergency Care (EMT) – Allergic Reactions and Anaphylaxis , =======================================, , , ]
