A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains a…

Question

A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5 mm pupils, dry warm skin and a heart rate of 165 per minute; her first electrocardiogram shows a QRS of 110 milliseconds. She then has a two-minute generalised seizure and is intubated. Her blood pressure is now 68/40 mmHg and a repeat electrocardiogram shows a QRS of 150 milliseconds. Which one of the following is the most appropriate i…

Accepted Answer

Sodium bicarbonate 8.4%, 2 mmol/kg intravenously

Answer

Activated charcoal 1 g/kg by nasogastric tube

Answer

Lipid emulsion 20%, 1.5 mL/kg intravenously

Answer

Magnesium sulfate 0.1 mmol/kg intravenously

Answer

Physostigmine 0.02 mg/kg intravenously

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