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Chapter 31 – Allergic Rhinitis & Drug Allergies (QE) Sample Questions

1. A 50-year-old man comes at your pharmacy with a new prescription of Epipen 0.3 mg x 1 as directed. His 10 year old son has been identified with severe allergies and anaphylaxis reaction with nuts. Pharmacy counseling on epinephrine use. All of the following signs or symptoms warrant immediate use of Epipen, EXCEPT:

A. Angioedema
B. Shortness of breath
C. Chest pain
D. Rash and hives

Answer

Ans: C

Tips: EpiPen Monograph. All of the choices are symptoms of anaphylactic reaction except chest pain. Respiratory symptoms of an anaphylaxis in the larynx include pruritus and “tightness” in the throat, dysphagia, dysphonia, hoarseness, wheezing and cough.
Epipen is indicated for immediate self-administration for severe allergic reactions (Type I) including anaphylaxis with foods, stinging and biting insects, medications, latex, idiopathic anaphylaxis, exercise-induced anaphylaxis, and other allergens.
Administration is as IM injected into anterolateral aspect of the thigh. DO NOT inject into the buttocks and as IV.
Epipen Jr. is only for children weighing 15-30 kg. If more than 30 kg, the child should be given the regular Epipen which deliver 0.30mg of epinephrine per auto-injection.

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