North Carolina EMT State Practice Exam

In an allergic reaction, what is the primary initial treatment?

1. Antihistamines

2. Oxygen

3. IV fluids

4. Warm compresses

The correct answer is: Oxygen

In an allergic reaction, the primary initial treatment is to provide oxygen to the patient, especially if they are experiencing any signs of respiratory distress or anaphylaxis. Oxygen therapy helps to ensure that the patient receives adequate oxygenation, which is crucial in any situation where the airway may be compromised or if the patient is struggling to breathe. This is particularly important if the allergic reaction leads to symptoms such as wheezing or shortness of breath, as it supports vital functions until further interventions can be made. While antihistamines are commonly used to manage allergic reactions, they are not the first-line treatment for those experiencing severe or life-threatening reactions. Similarly, IV fluids and warm compresses may be appropriate in different clinical scenarios, but they do not address the immediate need for oxygen in a situation where the patient's respiratory status is at risk. Prioritizing oxygen in the case of an allergic reaction aligns with the protocols for managing airway compromise and ensuring patient safety.