Question

A 30-year-old man presents after ingesting an unknown quantity of his tricyclic antidepressant. He is drowsy with a wide QRS complex (140 ms) on ECG and hypotension. What is the most appropriate specific antidotal therapy?

Accepted Answer

Intravenous sodium bicarbonate boluses

Answer

Intravenous magnesium sulphate

Answer

Intravenous lipid emulsion only

Answer

Oral activated charcoal alone

Answer

No specific therapy; supportive care only

Practice question

A 30-year-old man presents after ingesting an unknown quantity of his tricyclic antidepressant. He is drowsy with a wide QRS complex (140 ms) on ECG and hypotension. What is the most appropriate specific antidotal therapy?