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You are currently treating a patient in the ED for a TCA over dose.  She has received bicarb, but go into a sustained ventricular tachycardia, with pulses.   What is the next medication of choice

A. Amiodarone

B. Propranol

C. Electricity

D. Lidocaine

E. Epinephrine

F. Procainamide

 

Answer – D. lidocaine is the antidysrhythmic of choice in TCA overdose, other medications can enhance TCA activity

 

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