Question

A 45-year-old man presents unconscious after a suspected tricyclic antidepressant overdose. ECG shows a widened QRS complex. Blood pressure is 88/50 mmHg. What is the most appropriate specific antidotal therapy?

Accepted Answer

Intravenous sodium bicarbonate bolus and infusion

Answer

Intravenous flumazenil

Answer

Intravenous naloxone

Answer

Activated charcoal only

Answer

Magnesium infusion alone

Practice question

A 45-year-old man presents unconscious after a suspected tricyclic antidepressant overdose. ECG shows a widened QRS complex. Blood pressure is 88/50 mmHg. What is the most appropriate specific antidotal therapy?