A 45-year-old man is brought to the emergency department after ingesting an unknown quantity of acetaminophen 2 hours ago in a suicide attempt. He is ...

Question

A 45-year-old man is brought to the emergency department after ingesting an unknown quantity of acetaminophen 2 hours ago in a suicide attempt. He is alert and vitals are stable. What is the most appropriate immediate management?

Accepted Answer

Administer activated charcoal and obtain serum acetaminophen level at 4 hours post-ingestion

Answer

Wait 8 hours and then check serum acetaminophen level

Answer

Give N-acetylcysteine immediately without any levels

Answer

Discharge with outpatient psychiatric follow-up only

Answer

Induce vomiting with syrup of ipecac

ca-mccqe1 MCQ (SBA): Acetaminophen overdose initial management

A 45-year-old man is brought to the emergency department after ingesting an unknown quantity of acetaminophen 2 hours ago in a suicide attempt. He is alert and vitals are stable. What is the most appropriate immediate management?