In cases of severe anaphylaxis involving hypotension and severe broncoconstriction, the paramedic should consider the administration of ____________________ as initial therapy
a. Epinephrine 1:1000 intramuscularly
b. Corticosteroids
c. Epinephrine 1:10,000 intravenously
d. Diphenhydramine intravenously
c
Rationale: a. While epinephrine 1:1000 intramuscularly may be useful in allergic reactions, it may not act fast enough in severe anaphylaxis.
b. Corticosteroids are utilized for the later effects of an allergic reaction.
c. Correct.
d. Diphenhydramine is useful, but epinephrine is more useful initially for life-threatening reactions.
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