A patient diagnosed with depression on treatment came to emergency with altered sensorium seizures, palpitations and ECG showing sinus tachycardia. How do you treat this patient?
Aspirin + clopidogrel
IV Lorazepam
IV Sodium bicarbonate
IV Haloperidol
The above symptoms suggests of TCA toxicity in a patient of depression and NaHCO3 remains as the main stay of treating TCA toxicity and metabolic acidosis associated with it.