Your patient is a seven-year-old girl with a history of bee-sting anaphylaxis. She was stung by a bee and nearly immediately began having difficulty swallowing and breathing. Her father administered her prescribed 0.15 mg epinephrine auto-injector without result. On your arrival, the patient responds to painful stimuli; has labored, rapid, wheezing respirations; a heart rate of 60; and a blood
pressure of 92/60 mmHg. Which of the following is the best sequence of treatment for this patient?
A) Administer only epinephrine 1:1,000 IM
B) Administer only diphenhydramine IM
C) Administer diphenhydramine IM and epinephrine 1:1,000 IV
D) Administer both epinephrine 1:10,000 and diphenhydramine intravenously
D
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Anemia of chronic disease is characterized by:
a. A block in globin synthesis b. An inadequate intake of iron c. A block in insertion of iron into the porphyrin ring of heme d. A block in iron release from macrophages
Before a sample of capillary blood is taken, what should you do to the site? 1. Warmed to 42° C for 10 min. 2. Squeezed lightly until blanched. 3. Cleaned with an antiseptic solution
a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3