Correct option is A
· 1 ∶ 1000 (0.5 ml): The recommended dose of adrenaline for intramuscular (IM) administration in anaphylactic shock is 0.5 ml of a 1 ∶ 1000 solution (equivalent to 0.5 mg). This dose is typically given in the lateral thigh and helps counteract severe allergic reactions by improving airway patency, reducing swelling, and stabilizing blood pressure.
· 1 ∶ 10000 (0.5 ml): A 1 ∶ 10000 dilution is used for intravenous (IV) administration during cardiac arrest, not for IM administration in anaphylactic shock.
· 1 ∶ 1000 (1 ml): Administering 1 ml of a 1 ∶ 1000 solution (1 mg) IM exceeds the recommended dose for anaphylactic shock and can increase the risk of side effects such as severe hypertension or arrhythmias.
· 1 ∶ 10000 (1 ml): This is also intended for IV use in emergencies like cardiac arrest and is not appropriate for the initial management of anaphylaxis.
· Shock - sudden drop of blood flow to the vital organs
· Types
· Anaphylactic - due to allergic reactions
· Neurogenic - nervous injuries
· Cardiogenic - cardiac related conditions can lead to shock
· Hypovolemic - due to less amount of fluid
· Low blood pressure, rapid breathing, weak pulse, decreased urine output.
· Adrenaline is the first line treatment for shock where for anaphylactic shock we give 0.5ml to treat it
· Adrenaline rapidly reverses the effects of anaphylaxis.

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