Overdose

Question 1

Unstable beta-blocker or calcium channel blocker OD management?

Answer 1

Treat as per bradycardia CPG
For cardiogenic shock and profound beta-blocker
-IV/IO glucagon 0.05mg/kg repeat prn

Question 2

Unstable symptomatic tricyclic antidepressant OD management?

Answer 2

Intubation and hyperventilation if obtunded
-aim EtCO2 25-30mmHg

Question 3

Symptoms of tricyclic antidepressant?

Answer 3

Decrease GCS
Seizures
Anticholinergic effect
hypotension
widening QRS