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hydrocortisone) → may reduce late/biphasic reaction * Nebulized bronchodilators → for persistent wheeze Monitoring * Continuous observation for at least 4–6 hours * Longer (12–24 hours) if severe reaction or recurrence risk Biphasic reaction * Symptoms can return hours later after initial recovery * Reason for observation period * IM adrenaline is the FIRST and MOST IMPORTANT treatment * Do NOT delay for antihistamines or steroids * Airway obstruction + hypotension = severe anaphylaxis * Lie patient flat (avoid sitting up unless respiratory distress) To view or add a comment, sign in More Relevant Posts 💉 Medication Safety – Best Practices Safe Injection Practices: Bupivacaine / Ropivacaine Medication safety is a shared responsibility, and awareness of high-alert medications is essential to prevent serious patient harm