A 22-year-old man is brought to ED after ingesting an unknown quantity of a tricyclic antidepressant in a suicide attempt. He is drowsy, with BP 90/60...

Question

A 22-year-old man is brought to ED after ingesting an unknown quantity of a tricyclic antidepressant in a suicide attempt. He is drowsy, with BP 90/60 mmHg and wide-complex tachycardia on ECG (QRS 160 ms). What is the most appropriate immediate specific therapy?

Accepted Answer

IV sodium bicarbonate bolus

Answer

IV magnesium sulfate

Answer

Haemodialysis

Answer

Flumazenil

Answer

IV insulin and dextrose

au-acem MCQ (SBA): Tricyclic antidepressant overdose

A 22-year-old man is brought to ED after ingesting an unknown quantity of a tricyclic antidepressant in a suicide attempt. He is drowsy, with BP 90/60 mmHg and wide-complex tachycardia on ECG (QRS 160 ms). What is the most appropriate immediate specific therapy?