play_arrow

keyboard_arrow_right

skip_previous play_arrow skip_next
00:00 00:00
playlist_play chevron_left
volume_up
chevron_left
play_arrow

Featured

TCA Overdose

Dr Swapnil Pawar January 31, 2022 44


Background
share close
  • cover 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

 

Rate it
Previous episode
Medspresso Podcast
play_arrow
share playlist_add
close
  • 39

Featured

Septic Arthritis

Dr Swapnil Pawar January 15, 2022

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 ·   […]

Read more trending_flat

Similar episodes