John, a 48 year old male, presents to the emergency department after being stung

Question

John, a 48 year old male, presents to the emergency department after being stung by several bees. He was hesitant to seek treatment stating that “it is just bee stings”. His wife insisted that he go to the emergency room due to hives covering more than 40% of his body and his rapid breathing. Which of the following treatments needs to be administered immediately given the patient’s symptoms and distress?

Antiretroviral protease inhibitor

Oral antihistamine and nasal corticosteroid

Epinephrine and corticosteroids

Non-steroidal anti-inflammation medication

Explanation / Answer

Hives and rapid breathing are included among the anaphylactic reactions which occur due to bee stings. The life saving drug in this case would be epinephrine. However, antihistamine and steroid medications may also be used. Further intravenous fluids are required to support cardiovascular function.

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