A 19-year-old woman presents 6 hours after ingesting 20 g of acetaminophen in a suicide attempt. She weighs 60 kg. Serum acetaminophen level plotted o...

Question

A 19-year-old woman presents 6 hours after ingesting 20 g of acetaminophen in a suicide attempt. She weighs 60 kg. Serum acetaminophen level plotted on the Rumack-Matthew nomogram falls well above the treatment line. What is the most appropriate management?

Accepted Answer

Begin N-acetylcysteine infusion immediately

Answer

Reassure and discharge as she is well

Answer

Give activated charcoal only

Answer

Start haemodialysis without N-acetylcysteine

Answer

Wait for signs of hepatic injury before treating

ca-mccqe1 MCQ (SBA): Acetaminophen overdose

A 19-year-old woman presents 6 hours after ingesting 20 g of acetaminophen in a suicide attempt. She weighs 60 kg. Serum acetaminophen level plotted on the Rumack-Matthew nomogram falls well above the treatment line. What is the most appropriate management?