61-year-old man with a history of depression and hypertension is brought to the ED by EMS for altered mental status. The patientâs wife states that he stopped takin g his fluoxetine 1 month ago and now only takes metoprolol for his hypertension. The patientâs BP is 75/40 mm Hg, HR is 39 beats per minute, RR is 14 breaths per mi nute, oxygen saturation is 99% on 100% oxygen, and fingerstick fingerstick glucose is 81 mg /dL. The patient is awake and moaning, responding only to deep stimuli. You susp ect an overdose of metoprolol. You endotracheally intubate the patient for airway control. Which of the followi ng is the most appropriate next step in management? a. Syrup of ipecac, normal saline bolus, epinephrine b. Cardioversion with 200 J then administer epinephrine c. Cardioversion with 200 J then administer atropine d. Normal saline bolus, atropine, epinephrine, and activated charcoal e. Normal saline bolus, atropine, glucagon, and activated charcoal