Tricyclic Antidepressant Overdose
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