A young girl on antidepressant therapy presented to emergency with palpitations, altered sensorium and hypotension. There is wide QRS interval and right axis detion in ECG. Next best step in the management of this patient is:
*The clinical features and ECG findings typically suggest a diagnosis of tricyclic antidepressant (TVA) poisoning. *Antidote for TCA poisoning is sodium bicarbonate *Hemodialysis is not effective is TCA poisoning REF: HARRISONS 20TH ED.
Physostigmine
NaHCO3
Dialysis
Flumazenil
Central Nervous system