A 23-year-old woman presents 6 hours after ingesting an unknown quantity of paracetamol tablets in a suicide attempt. She is currently asymptomatic. A...

Question

A 23-year-old woman presents 6 hours after ingesting an unknown quantity of paracetamol tablets in a suicide attempt. She is currently asymptomatic. According to Australian paracetamol poisoning guidance, what is the most appropriate next step in management?

Accepted Answer

Check serum paracetamol level immediately and compare with the nomogram, starting N-acetylcysteine if above treatment line

Answer

Discharge with counselling as she is asymptomatic

Answer

Start N-acetylcysteine immediately without measuring a paracetamol level

Answer

Measure serum paracetamol level at 24 hours only

Answer

Give activated charcoal alone and observe for 4 hours

au-acem MCQ (SBA): Paracetamol overdose

A 23-year-old woman presents 6 hours after ingesting an unknown quantity of paracetamol tablets in a suicide attempt. She is currently asymptomatic. According to Australian paracetamol poisoning guidance, what is the most appropriate next step in management?