A 29-year-old male experienced multiple fire-ant bites to his lower extremities. He is conscious and alert, and denies respiratory distress. His skin is warm, dry, and without urticaria and his breath sounds are clear and equal bilaterally. Appropriate management for this patient includes:
A. assisting the patient with an epinephrine auto-injector if he has one.
B. administering prophylactic epinephrine in a dose of 0.3 to 0.5 mg IM.
C. applying ice to the bites and observing for signs of an allergic reaction.
D. administering 100% oxygen via nonrebreathing mask and starting an IV.
Ans: C. applying ice to the bites and observing for signs of an allergic reaction.
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