A 19-year-old university student presents to the emergency department in early winter after a party, with agitation, confusion, tachycardia, dilated p...

Question

A 19-year-old university student presents to the emergency department in early winter after a party, with agitation, confusion, tachycardia, dilated pupils, dry skin, and urinary retention. Friends report he ingested a large quantity of over-the-counter Gravol tablets. According to Canadian toxicology practice, which treatment is most appropriate for severe anticholinergic toxicity with delirium?

Accepted Answer

Physostigmine administered by an experienced clinician with cardiac monitoring

Answer

Benzodiazepines alone

Answer

Flumazenil

Answer

Forced diuresis

Answer

Long-term antipsychotic therapy

ca-mccqe1 MCQ (SBA): Anticholinergic toxicity from dimenhydrinate