24th May 2025

You are reviewing a patient on the acute medical unit experiencing vomiting, wheeze and hypotension soon after an iron infusion was commenced for her iron deficiency anaemia.

You are reviewing a patient on the acute medical unit experiencing vomiting, wheeze and hypotension soon after an iron infusion was commenced for her iron deficiency anaemia. This patient has a body weight of 44 kg and a BMI of 17. She has a history of atrial fibrillation and a Rockwood Frailty Score of 6. You are concerned that this represents anaphylaxis and so disconnect the infusion immediately. You decide to administer adrenaline. What is the correct dose of IM adrenaline in this context?

Select the SINGLE most appropriate option from the list below. Select ONE option only.