system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 43-year-old woman is brought to the emergency department 10 minutes after the sudden onset of shortness of breath, dry cough, nausea, and an itchy rash. The symptoms started 15 minutes after she had dinner with her husband and her two sons at a local seafood restaurant. The patient has a 2-year history of hypertension treated with enalapril. She also uses an albuterol inhaler as needed for exercise-induced asthma. Empiric treatment with her inhaler has not notably improved her current symptoms. She has smoked one pack of cigarettes daily for the last 20 years. She drinks one to two glasses of wine every other day. She has never used illicit drugs. She appears uncomfortable and anxious. Her pulse is 124/min, respirations are 22/min and slightly labored, and blood pressure is 82/68 mm Hg. Examination of the skin shows erythematous patches and wheals over her trunk, back, upper arms, and thighs. Her lips appear slightly swollen. Expiratory wheezing is heard throughout both lung fields. The remainder of the physical examination shows no abnormalities. Which of the following is the most appropriate next step in the management of this patient?
assistant
Intramuscular epinephrine administration