As with the child, supportive care should be given. As the mother can (in the absence of prior allergy, pulmonary disease, or other predisposing physcial condition) tolerate a greater number of stings, she is unlikely to develop shock. If the mother begins to manifest signs and symptoms of toxicity, she can be treated with a regimen including epinephrine, diphenhydramine, corticosteroids, oxygen, and intravenous fluid expansion (corrects hypotension and fluid loss, and causes toxin dilution). Bronchodialators may be indicated. Tetanus vaccination should be considered.