Question

A 32-year-old man is brought to the emergency department after ingesting an unknown quantity of tricyclic antidepressants. He is drowsy, hypotensive and has a wide QRS complex on ECG. According to toxicology guidance, what is the most appropriate specific treatment?

Accepted Answer

Intravenous sodium bicarbonate boluses

Answer

Intravenous magnesium only

Answer

Haemodialysis

Answer

Flumazenil

Answer

No specific treatment; observe only

Practice question

A 32-year-old man is brought to the emergency department after ingesting an unknown quantity of tricyclic antidepressants. He is drowsy, hypotensive and has a wide QRS complex on ECG. According to toxicology guidance, what is the most appropriate specific treatment?