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124. Mad Hatter- TCA Overdose

The Intern At Work: Internal Medicine

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Symptoms of T C a Overdose

Your work up should be focused on identifying and predicting the downstream consequences. Seizures may in turn exasperate hypo tension, potentially because of the subsequent acidosis. Serum t ca levels are not sensitive or predictive of the severity of overdose. An early e c g is mandatory to assess for signs of curess, ct c or p r prolongation as well as any associated ventricular or brati arithmas.

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