The ED nurse has admitted a client with suspected overdose of tricyclic antidepressants. Which signs and symptoms does the nurse expect to find in this client?

Select all that apply.
  1. confusion
  2. dry mouth
  3. bradycardia
  4. dysrhythmias
  5. constricted pupils
  6. flushing of the skin
Numbers 1, 2, 4, and 6 are correct.
Rationale: Signs and symptoms of overdose with tricyclic antidepressants include confusion, dry mouth, dysrhythmias, and flushing of the skin. Tachycardia and dilated pupils are other signs. Cardiac rhythm may progress to intraventricular blocks, complete atrioventricular blocks, and ventricular fibrillation. The nurse should prepare for gastric lavage to avoid further absorption of the medication.