Advanced Medical Life Support (AMLS)

What is the most appropriate action for a patient with an allergic reaction indicated by urticaria and mild symptoms after being stung?

1. Immediately transport to the hospital

2. Initiate an IV with 0.9% NS

3. Administer epinephrine

4. Monitor blood glucose level

The correct answer is: Initiate an IV with 0.9% NS

In the context of managing a patient with an allergic reaction indicated by urticaria (hives) and mild symptoms following an insect sting, the most appropriate action involves directly addressing the potential for the allergic reaction to escalate. Administering epinephrine is considered the first-line treatment for an allergic reaction, particularly in cases where there is a risk of anaphylaxis, as it acts rapidly to counteract the effects of histamine and can stabilize the patient's condition. Epinephrine helps to reduce swelling, maintain blood pressure, and alleviate airway constriction. For patients experiencing urticaria along with mild symptoms, there is still a significant risk that their symptoms may worsen, potentially leading to life-threatening complications. Thus, administering epinephrine is a critical step in managing their care effectively. Although initiating an IV with 0.9% saline might be considered in certain scenarios, particularly if fluid resuscitation is warranted, it does not address the immediate and potentially severe symptoms of an allergic reaction. Monitoring blood glucose levels is generally not relevant to the management of allergic reactions, especially in the absence of specific indications or complications related to blood sugar issues. Immediate transport to the hospital is warranted but should follow the administration of epinephrine in cases of significant