A 23-year-old woman presents 4 hours after ingesting 30 g of acetaminophen in a suicide attempt. Her serum acetaminophen concentration plotted on the ...

Question

A 23-year-old woman presents 4 hours after ingesting 30 g of acetaminophen in a suicide attempt. Her serum acetaminophen concentration plotted on the Rumack-Matthew nomogram is above the treatment line. What is the most appropriate management?

Accepted Answer

Administer N-acetylcysteine as soon as possible

Answer

Reassure; no treatment is needed after 4 hours

Answer

Wait 24 hours and recheck the level

Answer

Induce emesis with syrup of ipecac

Answer

Treat with high-dose ibuprofen to prevent liver injury

ca-mccqe1 MCQ (SBA): Acetaminophen overdose

A 23-year-old woman presents 4 hours after ingesting 30 g of acetaminophen in a suicide attempt. Her serum acetaminophen concentration plotted on the Rumack-Matthew nomogram is above the treatment line. What is the most appropriate management?