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Pharmacology Miscellaneous (Pharmacology) 60222c5a

A 70 years old man was administered penicillin i.v. Within 5 minutes, he developed generalized urticaria, swelling of lips, hypotension and bronchospasm. The first choice is to administer:

A
Chlorpheniramine inj
B
Epinephrine inj.
C
High dose hydrocortisone tablet
D
Nebulized salbutamol
High-Yield Explanation
Ans. (B) Epinephrine inj (Ref: KDT 8th/e p149)Epinephrine (adrenaline) is the drug of choice for anaphylactic shock. It is given by s.c. or i.m. route in a concentration of 1:1000. Intravenous route is rarely used but at much lower (1:10,000) concentration.

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