A 19-year-old woman presents 10 hours after ingesting 20 tablets of 500 mg paracetamol in a suicide attempt. She is asymptomatic. According to UK guid...

Question

A 19-year-old woman presents 10 hours after ingesting 20 tablets of 500 mg paracetamol in a suicide attempt. She is asymptomatic. According to UK guidance, what is the most appropriate next step?

Accepted Answer

Check serum paracetamol level and use the treatment nomogram to determine need for N-acetylcysteine

Answer

Reassure and discharge as she is asymptomatic

Answer

Give activated charcoal alone

Answer

Start N-acetylcysteine only if liver function tests are deranged

Answer

Admit for observation only with no blood tests

uk-plab-1 MCQ (SBA): Paracetamol overdose

A 19-year-old woman presents 10 hours after ingesting 20 tablets of 500 mg paracetamol in a suicide attempt. She is asymptomatic. According to UK guidance, what is the most appropriate next step?