Question

A 40-year-old man with severe alcohol intoxication is found to have paracetamol ingestion 8 hours earlier, amount unknown. ALT normal. What is the appropriate next step?

Accepted Answer

Use Rumack-Matthews nomogram and start acetylcysteine if indicated

Answer

Reassure if ALT normal

Answer

Start haemodialysis

Answer

Give charcoal only

Answer

Wait 24 hours and recheck

Practice question

A 40-year-old man with severe alcohol intoxication is found to have paracetamol ingestion 8 hours earlier, amount unknown. ALT normal. What is the appropriate next step?