Question

A 22-year-old woman presents 6 hours after ingesting 20 g of paracetamol in a suicide attempt. Serum paracetamol level is above the treatment line on the nomogram. What is the most appropriate management?

Accepted Answer

Commence IV N-acetylcysteine immediately

Answer

Discharge with reassurance as she is asymptomatic

Answer

Give activated charcoal only

Answer

Wait for symptoms of liver failure before treating

Answer

Use oral methionine only and no monitoring

Practice question

A 22-year-old woman presents 6 hours after ingesting 20 g of paracetamol in a suicide attempt. Serum paracetamol level is above the treatment line on the nomogram. What is the most appropriate management?