A 19-year-old man presents one hour after intentionally ingesting 30 g of Acetaminophen. He is asymptomatic. What is the most appropriate immediate ma...

Question

A 19-year-old man presents one hour after intentionally ingesting 30 g of Acetaminophen. He is asymptomatic. What is the most appropriate immediate management?

Accepted Answer

Draw serum Acetaminophen level at 4 hours post-ingestion and start N-acetylcysteine if above treatment line

Answer

Reassure and repeat levels in 24 hours

Answer

Start N-acetylcysteine now without waiting for levels

Answer

Perform gastric lavage only

Answer

Give activated charcoal only and discharge

ca-mccqe1 MCQ (SBA): Acetaminophen overdose management

A 19-year-old man presents one hour after intentionally ingesting 30 g of Acetaminophen. He is asymptomatic. What is the most appropriate immediate management?