A 30-year-old man is brought to the ED after ingesting an unknown quantity of acetaminophen 3 hours ago in a suicide attempt. He is asymptomatic. Acco...

Question

A 30-year-old man is brought to the ED after ingesting an unknown quantity of acetaminophen 3 hours ago in a suicide attempt. He is asymptomatic. According to toxicology guidance, what is the most appropriate next step?

Accepted Answer

Draw serum acetaminophen level at 4 hours post-ingestion and initiate N-acetylcysteine if above treatment line

Answer

No treatment as he is asymptomatic

Answer

Start hemodialysis immediately

Answer

Administer activated charcoal only, no further action

Answer

Wait 24 hours and then draw acetaminophen level

ca-mccqe1 MCQ (SBA): Acetaminophen overdose

A 30-year-old man is brought to the ED after ingesting an unknown quantity of acetaminophen 3 hours ago in a suicide attempt. He is asymptomatic. According to toxicology guidance, what is the most appropriate next step?