A 19-year-old woman presents 4 hours after ingesting 20 g of paracetamol in a suicide attempt. She is currently asymptomatic. According to Australian ...

Question

A 19-year-old woman presents 4 hours after ingesting 20 g of paracetamol in a suicide attempt. She is currently asymptomatic. According to Australian paracetamol poisoning guidelines, what is the most appropriate next step?

Accepted Answer

Measure serum paracetamol concentration at 4 hours post-ingestion and use the treatment nomogram to decide on N-acetylcysteine

Answer

Reassure because she is asymptomatic

Answer

Wait 24 hours before checking any blood tests

Answer

Start activated charcoal only, no blood tests are needed

Answer

Start haemodialysis immediately

au-amc MCQ (SBA): Paracetamol overdose

A 19-year-old woman presents 4 hours after ingesting 20 g of paracetamol in a suicide attempt. She is currently asymptomatic. According to Australian paracetamol poisoning guidelines, what is the most appropriate next step?