A 19-year-old woman ingests 20 g of acetaminophen in a suicide attempt and presents 3 hours later. She is asymptomatic. According to acetaminophen ove...

Question

A 19-year-old woman ingests 20 g of acetaminophen in a suicide attempt and presents 3 hours later. She is asymptomatic. According to acetaminophen overdose management, what is the most appropriate next step?

Accepted Answer

Check serum acetaminophen level at 4 hours post-ingestion and use nomogram to decide on N-acetylcysteine (NAC)

Answer

Discharge as she is asymptomatic

Answer

Wait 24 hours before checking acetaminophen level

Answer

Start NAC only if liver enzymes are elevated

Answer

Induce emesis at 3 hours post-ingestion

ca-mccqe1 MCQ (SBA): Acetaminophen overdose

A 19-year-old woman ingests 20 g of acetaminophen in a suicide attempt and presents 3 hours later. She is asymptomatic. According to acetaminophen overdose management, what is the most appropriate next step?