MI Overdose

Amitriptyline, nortriptyline, atropine

Volume resuscusitation

Ativan 2 mg, repeat after 10 min to max of 8mg

Valium PR 0.2 mg/kg

wide QRS use TCA protocol

50 G Activated Charcoal

Glucose level

Atropine 0.5 mg every 3 min to max of 3 mg

Fluid 20 ml/kg

For seizures 2 mg Ativan up to 8 mg q 10 min

BP < 90 Glucagon 5 mg IV repeat after 15 min

1 amp Calcium Gluconate

Dopamine 5-20 mcg/kg/min

Narcan 0.4-2 mg IV q 2-3 minutes

Narcan infusion: mix 2mg in 500 of D5W

0.4 mg/hr = 100 ml/hr

Volume resuscitation

Atropine 2 mg IV doubled every 5 min until secretions and bronchoconstriction resolve

Valium 5 mg IV to prevent seizures

50 G activated charcoal

For hypotension without pulmonary edema 10-20 ml/kg. Levophed if no response.

Increased QRS > 100 ms 1-2 meq/kg of Sodium Bicarbonate, consider bicarb drip

VT resistant to bicar consider Lidocaine 1.5 mg/kg followed by maintenance drip.

Avoid physostigmine