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?: (A) Aspirin + clopidogrel, (B) IV Lorazepam, (C) IV Sodium bicarbonate, (D) IV Haloperidol
Answer is C. 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.