A 31-Year-Old Farmer Is Hospitalized with a Severe Reaction to a Bee

A 31-year-old farmer is hospitalized with a severe reaction to a bee (Hymenoptera) sting.  He developed respiratory distress requiring endotracheal intubation in the field.  He was treated with epinephrine and corticosteroids with rapid recovery.  The patient has no prior similar incidents and no allergies.  He is given an epinephrine autoinjector and instructed on its use.
Which of the following is the most important part of discharge planning in this patient?

A) Antihistamine therapy
B) Prolonged course of corticosteroids
C) Referral for immunotherapy
D) Serum total immunoglobulin E levels
E) Serum tryptase levels

Correct Answer:

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