A 23-year-old man collapsed within 2 minutes of receiving a long-acting penicillin injection, exhibiting symptoms of acute anaphylaxis including urticaria, erythema, pruritus, excessive tearing, coughing, abdominal pain, nausea, vomiting and diarrhea. Epinephrine is the drug of choice for treating anaphylactic shock, as it is effective for shock, angioedema, airway obstruction and bronchospasm. General measures for treatment of anaphylaxis include assessing airway and vital signs, administering oxygen, and positioning the patient upright.

2. Excessive tears, itching and congestion of the eyes

3. Cough and sensation of tightness of chest

4. Abdominal pain, nausea, vomiting and diarrhoea

6. Date of starting the medications and dosage changes

7. Temporal relationship between the drug and reaction

8. Marital, menstrual and psychosocial history

10. IV contrast materials like suphobromophthalien

11. Antihistamines like dimenhydramine and promethzine

12. Hymenoptera venom of bees, wasps and hornets

14. Epinephrine

15. Leucotriene C4

16. Prostaglandin D2

18. Increased bronchial smooth muscle tone

19. Decreased vascular smooth muscle tone

20. Increased capillary permeability

22. Tachypnoea tachycardia and hypertension

23. Localized nonpitting cutaneous edema

24. Rhonchi and wheezing

26. Exercise the limb vigorously for two minutes

27. Remove the insect stinger without compression

28. Administer 0.2ml 1:1000 adrenaline into the site

30. Angioedema

31. Airway obstruction

32. Bronchospasm

34. intra-tracheally

35. As intravenous infusion

36. Sublingually

38. 0.3ml 1:1000 solution SL

39. 10ml 1:1000 solution IV push

40. 1.0ml 1:1000 solution IT in 10ml Saline

42. Uncontrolled hypertension

43. Ventricular arrhythmia

44. Second stage of labor

46. Assess vital signs like pulse and BP immediately

47. Administer oxygen via mask in all cases

48. The patient should be propped up with a back rest

50. H1 receptor antagonist dimenhydramine 50mg IV

51. H2 receptor ranitidine 50mg IV

52. Digoxin 2.5mg given intravenously

54. Aminophyllin for persistent airway resistance

55. Morphine 50mg IV in respiratory depression

56. Noradrenaline may be given as an infusion

58. They have a role in reversing bronchspasm

59. They do not control cutaneous effects of anaphylaxis

60. They help to prevent biphasic reaction

62. Oxygen via a nasal catheter

63. Intermittent positive pressure ventilation

64. Endotracheal intubation and tracheostomy

66. Knowing about cross reactivity between agents

67. Prick or scratch skin test to precede intra-dermal test

68. Desensitization in case of drugs like ASV

69. Not providing a resuscitation kit to such patients