Septic Arthritis
play_arrow Septic Arthritis Dr Swapnil Pawar Blog Written by Dr Ashley Liu Septic Arthritis Differentials for Mono-arthritis Infective (i.e. septic arthritis) History: · Hot, swollen singular joint · […]
chevron_left
-
play_arrow
Abdominal Aortic Aneurysm Dr Swapnil Pawar
-
play_arrow
ICU Fellowship Vivas – TTM, Wernicke’s encephalopathy, and Post AAA repair management Dr Swapnil Pawar
-
play_arrow
Hypocalcemia Dr Swapnil Pawar
-
play_arrow
Noradrenaline Vs Adrenaline in OHCA Patients Dr Swapnil Pawar
-
play_arrow
TCA Overdose
Dr Swapnil Pawar
TCA Toxicity
Blog Written by Dr Andrew Lam
ECG Findings in TCA Toxicity
Tachycardia- Widened QRS Complex
- Deep S wave in Lead I and AvL
- Tall R wave in AvR
- In severe toxicity may also manifest as VF or VT
Management of TCA Toxicity
NaHCO3 in 1-2mmol/kg bolus followed by infusion
- Indicated if widened QRS on ECG or presence of ventricular rhythm
- Aim pH 7.5-7.55 and normalisation of QRS duration
Activated Charcoal
- If ingestion within 1-2 hours, and patient alert and able to protect their own airway
IV Normal Saline
- For treatment of hypotension secondary to TCA alpha antagonism
- Vasopressors may be indicated in refractory hypotension
Previous episode
Similar episodes
