A 19-year-old woman presents 4 hours after ingesting 25 g of paracetamol in a suicide attempt. She weighs 60 kg and has no symptoms. According to Aust...

Question

A 19-year-old woman presents 4 hours after ingesting 25 g of paracetamol in a suicide attempt. She weighs 60 kg and has no symptoms. According to Australian overdose guidelines, what is the most appropriate management?

Accepted Answer

Commence intravenous N-acetylcysteine based on the paracetamol nomogram

Answer

Provide reassurance only, as she is asymptomatic

Answer

Wait 24 hours and then check liver function tests

Answer

Give activated charcoal only and discharge

Answer

No treatment is required as the dose is below toxic range

au-acem MCQ (SBA): Paracetamol overdose

A 19-year-old woman presents 4 hours after ingesting 25 g of paracetamol in a suicide attempt. She weighs 60 kg and has no symptoms. According to Australian overdose guidelines, what is the most appropriate management?