A 24-year-old man presents 4 hours after ingestion of 12 g acetaminophen. Serum acetaminophen at 4 hours is 180 µg/mL. What is the next best step?...

Question

A 24-year-old man presents 4 hours after ingestion of 12 g acetaminophen. Serum acetaminophen at 4 hours is 180 µg/mL. What is the next best step?

Accepted Answer

Start N‑acetylcysteine immediately

Answer

Discharge with reassurance

Answer

Give hemodialysis urgently

Answer

Check LFTs in 24 hours before treating

Answer

Start charcoal only; NAC not needed after 4 hours

acetaminophen toxicity MCQ (SBA): Toxicology