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Paracetamol overdose liver disease — GPhC CRA MCQ

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EasyRenal and Hepatic ImpairmentParacetamol overdose liver diseaseGPhC CRA

A patient with chronic liver disease has taken 10 g paracetamol in 24 hours for dental pain. They feel well and asks whether to wait. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Refer urgently for overdose assessment

Paracetamol overdose requires urgent assessment even if symptoms are absent. Liver disease increases concern and treatment is time-critical. In this scenario, the correct option is refer urgently for overdose assessment. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; TOXBASE principles