Paracetamol ingestion — RACP Paediatrics MCQ

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EasyEmergencyParacetamol ingestionRACP Paediatrics

A 2-year-old is brought to the ED 1 hour after ingesting an unknown quantity of grandmother's paracetamol tablets. The child is asymptomatic. What is the most appropriate initial management?

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Correct answer: A — Activated charcoal

Activated charcoal is effective for paracetamol ingestion if administered within 1-2 hours of ingestion. A serum paracetamol level should be taken at 4 hours post-ingestion and plotted on the treatment nomogram. If the level is above the treatment line, N-acetylcysteine (NAC) should be commenced.

Reference: RCH Melbourne – 2023 – Poisoning CPG; Australian Therapeutic Guidelines – 2024 – Toxicology