Question

A 32-year-old man is brought to the emergency department after ingesting an unknown quantity of a tricyclic antidepressant. He is drowsy, with widened QRS complexes and ventricular arrhythmias on ECG. What is the most appropriate specific treatment?

Accepted Answer

Intravenous sodium bicarbonate boluses

Answer

Intravenous insulin and dextrose only

Answer

Intravenous magnesium only

Answer

Oral activated charcoal only

Answer

Haemodialysis as first-line therapy

Practice question

A 32-year-old man is brought to the emergency department after ingesting an unknown quantity of a tricyclic antidepressant. He is drowsy, with widened QRS complexes and ventricular arrhythmias on ECG. What is the most appropriate specific treatment?