Advanced Medical Life Support (AMLS) 2025 – 400 Free Practice Questions to Pass the Exam

In cases of allergic reactions, especially those presenting with symptoms like urticaria (hives), administering epinephrine is the most appropriate action. Epinephrine acts as a bronchodilator and vasoconstrictor, countering the effects of anaphylaxis and helping to stabilize the patient’s condition. Even if the symptoms are mild, there is a risk that they could escalate quickly. Early administration of epinephrine can prevent the progression of the reaction and is the first-line treatment for anaphylaxis.

Monitoring and managing mild allergic reactions is crucial, but the primary goal is to ensure the patient's airway remains patent and their hemodynamic status stable. While transporting to the hospital is important for further evaluation and treatment, immediate intervention with epinephrine is essential in reducing symptoms and preventing complications.

Other options, such as initiating an IV with saline or monitoring blood glucose, do not address the immediate need to counteract the allergic reaction itself. These interventions may be supportive or relevant in different clinical scenarios, but they would not be the first steps in managing a patient with an allergic reaction characterized by urticaria.