Which Drugs are Contraindicated in This Case?

A 34-year-old female was brought to the emergency department by her husband. He further stated that he found her sleeping when he returned home from a business trip and became concerned when he was unable to awaken her. She has been treated for depression recently. There was an empty bottle of amitriptyline and an empty bottle of diazepam near the bedside. Physical examination: Temperature: 100.1°F HR: 118 bpm RR: 8 breaths per minute BP: 90/60 mm Hg General: No signs of trauma HEENT: Mucous membranes are dry.

There is no gag reflex. Pupils are dilated bilaterally and sluggishly reactive. Pulmonary: Clear to auscultation CV: An irregular, tachycardic heart rhythm Abdomen: Soft with diminished bowel sounds Skin: Warm and dry Neurologic: Decreased level of consciousness. Slurred speech, responds to pain Initial EKG shows sinus tachycardia with prolonged QT interval and QRS duration of…