A 40-year-old woman is brought as triage level 1 after an amitriptyline overdose. She is hypotensive, has a seizure, and ECG shows QRS 168 ms with

Question

A 40-year-old woman is brought as triage level 1 after an amitriptyline overdose. She is hypotensive, has a seizure, and ECG shows QRS 168 ms with terminal R wave in aVR. Which of the following is the most appropriate initial action?

Accepted Answer

IV sodium bicarbonate bolus

Answer

IV flumazenil

Answer

IV physostigmine

Answer

IV beta-blocker

Answer

Oral activated charcoal as sole therapy

Tricyclic antidepressant overdose — ABEM Board MCQ

A 40-year-old woman is brought as triage level 1 after an amitriptyline overdose. She is hypotensive, has a seizure, and ECG shows QRS 168 ms with terminal R wave in aVR. Which of the following is the most appropriate initial action?