New York City REMAC Paramedic Exam Prep 2025 – Complete Practice Test

The first step in managing an allergic reaction is to administer epinephrine if indicated because it acts swiftly to counteract the severe effects of anaphylaxis, such as airway swelling, difficulty breathing, and cardiovascular collapse. Epinephrine works by constricting blood vessels, which increases blood pressure, and by dilating airways, which helps alleviate breathing difficulties. This rapid response is crucial as it can be lifesaving in cases of severe allergic reactions.

While determining the allergen and administering corticosteroids or oxygen therapy may be important aspects of managing allergies in a broader context, they are secondary to the immediate need to stabilize the patient's condition using epinephrine. Identifying the allergen is vital for long-term management and prevention, but in an acute situation, immediate treatment with epinephrine takes priority to mitigate life-threatening symptoms. Therefore, the correct first step in an allergic reaction, especially an anaphylactic one, is to administer epinephrine when indicated.