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44.

A 10-year-old girl was admitted to the ER because of generalized urticaria and difficulty in breathing. The symptoms occurred after she was stung by a bee. At the admission it was stated: disseminated urticaria on the skin, symptoms of wheezing on auscultation, breath rate 56/min, heart rate 110/min, RR 75/50 mmHg. Which of the following variants of therapeutic treatment is correct?

A. intramuscular administration of epinephrine, intravenous access and administration of fluids.
B. intravenous access, administration of systemic glucocorticosteroids, observation at the ER for 2 hours
C. administration of antihistaminics, inhaled beta -agonists, and - in the absence of improvement - intravenous access and administration of systemic glucocorticosteroids.
D. intravenous access, intravenous administration of epinephrine.
E. intravenous access, administration of systemic glucocorticosteroids and - in the absence of improvement - epinephrine.

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