Which of the following medications should the paramedic consider if the effects of anaphylaxis are NOT being reversed after initial therapy with epinephrine?
a. Methylprednisolone
b. Diphenhydramine
c. Dopamine
d. Promethazine
c
Rationale: a. Corticosteroids have little benefit in the acute phase of an anaphylactic reaction.
b. While antihistamines may be useful, in severe anaphylaxis, the use of vasopressors is indicated.
c. Correct.
d. While antihistamines may be useful, in severe anaphylaxis, the use of vasopressors is indicated.
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