A 30-year-old woman presents 4 hours after ingesting 20 g paracetamol in an impulsive overdose. She weighs 60 kg and has no symptoms. According to Aus...

Question

A 30-year-old woman presents 4 hours after ingesting 20 g paracetamol in an impulsive overdose. She weighs 60 kg and has no symptoms. According to Australian paracetamol poisoning guidelines, what is the most appropriate management?

Accepted Answer

Measure paracetamol level at 4 hours post-ingestion and use nomogram to decide on N-acetylcysteine

Answer

Reassure and discharge because she is asymptomatic

Answer

Start N-acetylcysteine immediately without measuring levels

Answer

Give activated charcoal only

Answer

Delay all treatment until she develops symptoms

au-amc MCQ (SBA): Paracetamol overdose

A 30-year-old woman presents 4 hours after ingesting 20 g paracetamol in an impulsive overdose. She weighs 60 kg and has no symptoms. According to Australian paracetamol poisoning guidelines, what is the most appropriate management?