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Paracetamol overdose liver risk — GPhC CRA MCQ

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ModerateRenal and Hepatic ImpairmentParacetamol overdose liver riskGPhC CRA

A patient with chronic liver disease took 12 paracetamol 500 mg tablets over 8 hours yesterday and now feels nauseated. What is the most appropriate action?

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Correct answer: E — Refer immediately for emergency assessment

Potential paracetamol overdose requires urgent assessment because early symptoms may be mild despite serious hepatotoxicity risk. This makes refer immediately for emergency assessment the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF; TOXBASE/NHS emergency guidance