Drug used in anaphylaxis: September 2011
## Core Concept
The core concept being tested here is the management of anaphylaxis, a severe, life-threatening allergic reaction. Anaphylaxis requires immediate treatment to prevent fatal outcomes. The primary drug used in the management of anaphylaxis is **adrenaline (epinephrine)**, which acts rapidly to constrict blood vessels, relax muscles in the airways, and improve breathing.
## Why the Correct Answer is Right
The correct answer, **adrenaline (epinephrine)**, is the first-line treatment for anaphylaxis. It works by stimulating **alpha-adrenergic receptors** to cause vasoconstriction, which helps to increase blood pressure and reduce swelling. It also stimulates **beta-adrenergic receptors** to cause bronchodilation, which helps to improve breathing. The rapid administration of adrenaline is crucial in the management of anaphylaxis.
## Why Each Wrong Option is Incorrect
- **Option A:** Antihistamines, such as diphenhydramine, can be used as adjunct therapy to relieve mild to moderate allergic symptoms but are not the primary treatment for anaphylaxis due to their slower onset of action and inability to address the life-threatening aspects of anaphylaxis.
- **Option B:** Corticosteroids, like prednisone, are also used in the management of anaphylaxis but are not the immediate treatment. They help to reduce inflammation but have a delayed onset of action.
- **Option D:** Atropine is used in certain situations like bradycardia or asystole but is not the primary drug for treating anaphylaxis.
## Clinical Pearl / High-Yield Fact
A key point to remember is the **ABC** approach in anaphylaxis management: **Airway**, **Breathing**, and **Circulation**. The immediate administration of **adrenaline (epinephrine)** via an auto-injector or intramuscular injection is critical. The typical dose is 0.3 mg for adults and children over 12 years, and 0.15 mg for children between 6 and 12 years.
## Correct Answer Line
**Correct Answer: C. Adrenaline (Epinephrine)**