Question

your patient is recovering after a severe allergic reaction to a bee sting. you are instructing him on the use of the epinephrine auto - injection device that has been prescribed for him. which of the following groups of side effects would not be expected after self - injection with epinephrine?
excessive salivation and pupillary constriction
pupillary dilation and increased blood pressure
rapid heartbeat and tremors
dry mouth and pallor

Explanation:

Epinephrine (adrenaline) is a sympathomimetic drug. Sympathetic activation causes effects like pupillary dilation, increased blood pressure, rapid heartbeat, tremors, dry mouth, and pallor. Excessive salivation and pupillary constriction are parasympathetic (cholinergic) effects, which epinephrine does not typically cause. So the group of side effects not expected is "Excessive salivation and pupillary constriction".

Answer:

A. Excessive salivation and pupillary constriction