Question

A 22-year-old woman presents 6 hours after ingesting 20 g of paracetamol in a deliberate overdose. She is currently asymptomatic. Serum paracetamol level plotted on the nomogram lies above the treatment line. What is the most appropriate management?

Accepted Answer

Administer N-acetylcysteine infusion

Answer

Observe only; treatment is unnecessary if asymptomatic

Answer

Give activated charcoal only

Answer

Induce vomiting and then discharge

Answer

Start haemodialysis immediately

Practice question

A 22-year-old woman presents 6 hours after ingesting 20 g of paracetamol in a deliberate overdose. She is currently asymptomatic. Serum paracetamol level plotted on the nomogram lies above the treatment line. What is the most appropriate management?