Question

A 19-year-old woman presents 4 hours after ingesting 25 g of immediate-release paracetamol in a deliberate overdose. She weighs 60 kg. She is well-appearing. Serum paracetamol level taken at 4 hours is above the treatment line on the nomogram. What is the most appropriate management?

Accepted Answer

Start IV N-acetylcysteine infusion as per protocol

Answer

Observe without treatment as she is well

Answer

Give activated charcoal only and discharge

Answer

Use oral methionine only

Answer

Delay treatment and repeat paracetamol level in 24 hours

Practice question

A 19-year-old woman presents 4 hours after ingesting 25 g of immediate-release paracetamol in a deliberate overdose. She weighs 60 kg. She is well-appearing. Serum paracetamol level taken at 4 hours is above the treatment line on the nomogram. What is the most appropriate management?