Your patient is a 34-year-old male who is alert and oriented after an intentional overdose of ten Wellbutrin tablets 30 minutes ago. He denies ingestion of any other drugs or alcohol. Physical examination reveals warm, dry skin; PEARL; and a slight tremor to his hands. HR = 100, BP = 128/84, RR = 14, SaO2 = 99%. Which of the following is most appropriate?
a. IV of normal saline, KVO; flumazenil, IV
b. IV of normal saline, KVO; sodium bicarbonate 1 mEq/kg, IV
c. IV of normal saline, KVO
d. IV of normal saline, KVO; activated charcoal, PO or via NG tube
Answer: c. IV of normal saline, KVO
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