A 30-year-old woman presents 10 hours after ingesting 30 tablets of paracetamol 500 mg (total 15 g) in an impulsive overdose. She weighs 60 kg. She is...

Question

A 30-year-old woman presents 10 hours after ingesting 30 tablets of paracetamol 500 mg (total 15 g) in an impulsive overdose. She weighs 60 kg. She is currently asymptomatic. What is the most appropriate management?

Accepted Answer

Commence intravenous N-acetylcysteine immediately

Answer

Reassure and discharge as she feels well

Answer

Check paracetamol level at 24 hours post ingestion

Answer

Administer activated charcoal only

Answer

Delay treatment until psychiatric review is completed

au-amc MCQ (SBA): Paracetamol overdose

A 30-year-old woman presents 10 hours after ingesting 30 tablets of paracetamol 500 mg (total 15 g) in an impulsive overdose. She weighs 60 kg. She is currently asymptomatic. What is the most appropriate management?