How do you treat anaphylactic syndrome from a bee sting?

If a reaction begins, treatment includes subcutaneous injection of epinephrine, 1:1000 in aqueous solution. This may be repeated in 15 to 20 minutes. In addition, intravenous diphenhydramine and cortisone as well as oxygen, fluids, vasopressors, and bronchodilators may also be used as needed. Since most fatalities occur within the first hour, early intervention by the allergic patient with a self-administered epinephrine injection may prevent a reaction from developing. Emergency treatment kits may be prescribed and carried at all times (Ana-Kit by Hollister-Stier [Spokane, WA], or EpiPen/EpiPen Jr by Dey Pharma [Basking Ridge, NJ]). Education and sting avoidance and evaluation for venom immunotherapy should be considered.