In responding to a suspected anaphylactic reaction, which sequence of actions is recommended?

• A. Call for help, check airway, administer epinephrine, start fluids
• B. Administer epinephrine promptly, call for help, secure airway, and start fluids
• C. Monitor the patient and wait for physician
• D. Administer antihistamines and stop

Answer: (B)

In suspected anaphylaxis, the most urgent action is to give epinephrine right away. It acts quickly to reverse airway swelling, relieve bronchospasm, and stabilize blood pressure, which are life-threatening features of the reaction. Providing epinephrine promptly buys time and reduces the risk of deterioration, so it should come first before other steps. After administering epinephrine, call for help to ensure rapid transfer to higher care and to get additional resources. If there are signs of airway compromise or ongoing instability, secure the airway and begin IV fluids to support circulation and perfusion. While antihistamines and other meds can be used later, they do not treat the acute life-threatening symptoms as effectively as epinephrine. Continuous monitoring and reassessment are essential because symptoms can recur or worsen, requiring further intervention.