A 46-year-old female presents with respiratory difficulty, facial swelling, and widespread hives after she was stung by an unknown type of insect. Her blood pressure is 88/58 mm Hg; auscultation of her lungs reveals diffuse expiratory wheezing. The patient has a prescribed EpiPen, but has not used it. After administering 100% oxygen, you should:
A. start an IV and administer a 20 mL/kg saline bolus to raise her BP.
B. assist the patient with her EpiPen in accordance with your protocols.
C. administer 0.3 to 0.5 mL of epinephrine 1:1,000 subcutaneously.
D. administer a nebulized beta2 agonist to relieve the bronchospasm.
Answer: B. assist the patient with her EpiPen in accordance with your protocols.
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