A 32-year-old woman is admitted in an unconscious state after an overdose of a large number of amitriptyline tablets. It is thought that she took them between 7 and 8pm and was not found by her partner until he returned from a bar some 3hrs later. When you get to see her she has already been intubated by the Emergency department consultant. Her BP is 100/70 mmHg and she has a sinus tachycardia of 100 BPM. While you are watching the monitor you can see she is suffering from short unsustained runs of ventricular tachycardia. Investigations; pH 7.29 pO2 8.1 kPa pCO2 4.9 kPa HCO3 - 13 mmol/l Which of the following is the most appropriate way to initially manage the short runs of VT? Normal saline infusion Magnesium infusion Amiodarone infusion Adenosine bolus IV Sodium bicarbonate
Posted on: Tue, 29 Jul 2014 23:34:02 +0000
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