Question

A 30-year-old woman presents after ingesting an unknown quantity of amitriptyline in a suicide attempt 1 hour earlier. She is drowsy, tachycardic and her ECG shows QRS duration 140 ms. According to toxicology guidance, what is the most appropriate specific antidotal treatment?

Accepted Answer

Intravenous sodium bicarbonate bolus and infusion

Answer

Intravenous lipid emulsion

Answer

Intravenous magnesium sulphate

Answer

Intravenous calcium gluconate

Answer

Haemodialysis

Practice question

A 30-year-old woman presents after ingesting an unknown quantity of amitriptyline in a suicide attempt 1 hour earlier. She is drowsy, tachycardic and her ECG shows QRS duration 140 ms. According to toxicology guidance, what is the most appropriate specific antidotal treatment?