In the case of a 19-year-old female who ingested amitriptyline and shows specific vital signs, what should you be most alert for during transport?

When a patient has ingested amitriptyline, it is crucial to be particularly vigilant for seizures and cardiac arrhythmias during transport. Amitriptyline is a tricyclic antidepressant that can have several serious side effects, particularly in cases of overdose.

Seizures can occur as a result of the drug's action on neurotransmitter levels in the brain and other central nervous system effects. It is essential to monitor the patient closely for any signs of neurological disturbances that may indicate impending seizures.

Cardiac arrhythmias are also a significant risk because amitriptyline can impact heart conduction and lead to potentially fatal rhythm disturbances. The drug's anticholinergic properties can alter heart rates and intervals on an electrocardiogram, making it vital to keep an eye on her cardiovascular status during transport.

The other potential concerns, while they may occur in certain contexts, do not pose the same immediate and serious risks associated with amitriptyline toxicity. Sudden outbursts of violence are less directly related to amitriptyline overdoses, acute respiratory depression is typically associated more with opioid use, and an increase in blood pressure is not a common or specific concern with this medication. Therefore, vigilance for seizures and