au-acem MCQ (SBA): Tricyclic antidepressant overdose

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HardToxicologyTricyclic antidepressant overdoseau-acemau-amc

A 25-year-old man with a history of depression is brought to ED after ingesting an unknown quantity of amitriptyline 3 hours earlier. He is drowsy with dry mucous membranes, BP 90/60 mmHg and wide-complex tachycardia on ECG (QRS 140 ms). According to toxicology guidelines, what is the most appropriate immediate specific treatment?

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au-acem MCQ: Tricyclic antidepressant overdose — Answer & Explanation