Question

A 35-year-old man presents after intentional overdose with an unknown quantity of amitriptyline. He is drowsy with a heart rate of 120 bpm, blood pressure 85/50 mmHg and QRS widening on ECG. What is the single most important immediate specific treatment?

Accepted Answer

IV sodium bicarbonate boluses

Answer

IV magnesium sulfate

Answer

IV calcium gluconate

Answer

IV lipid emulsion only

Answer

Haemodialysis

Practice question

A 35-year-old man presents after intentional overdose with an unknown quantity of amitriptyline. He is drowsy with a heart rate of 120 bpm, blood pressure 85/50 mmHg and QRS widening on ECG. What is the single most important immediate specific treatment?