Can just think about the 3 Cs of TCA (tri Cyclic) overdose: convulsions, cardiac, coma. And the one we most commonly monitor for is QT prolongation with cardiac monitoring. Even without knowing that, cardiac monitoring is usually a safe bet on a pt with poisoning.
TCA overdoses are potentially fatal due to the drugsโ cardiac effects. The most dangerous is that fast sodium channel blockage can lengthen the QRS and result in fatal ventricular arrhythmias.
submitted by humbertodiaz93(2)
This question has changed. Sept 23rd 2020. 2-day-old female with murmur. Next step in management: Observation only.