What is the immediate course of action in the event of anaphylactic shock?

Prepare for the ITE Board General Internal Medicine test. Utilize structured study resources, flashcards, and multiple choice questions with hints and explanations to ensure exam success!

In the event of anaphylactic shock, the immediate course of action is to administer epinephrine without delay. Anaphylaxis is a severe, life-threatening allergic reaction that can lead to rapid onset of symptoms such as difficulty breathing, swelling, hives, and a significant drop in blood pressure. Epinephrine acts quickly to counteract these symptoms by narrowing blood vessels, which helps to increase blood pressure and reduce swelling, as well as relaxing the muscles in the airways, improving breathing.

Immediate administration of epinephrine is crucial because anaphylaxis can escalate quickly, and delays in treatment can lead to severe outcomes, including death. While other measures, such as calling emergency services or administering corticosteroids and antihistamines, are important in anaphylactic management, they are not the first line of treatment and should follow the administration of epinephrine. Epinephrine can be given intramuscularly (typically in the thigh), and in most cases, a second dose may be necessary if symptoms do not adequately resolve.

This understanding of the correct approach to anaphylactic shock emphasizes the critical nature of timely response in life-threatening situations.

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