Question

A 30-year-old woman presents 10 hours after taking an intentional overdose of paracetamol tablets. She is clinically well. Serum paracetamol concentration taken at 10 hours plots above the treatment line on the Australian paracetamol nomogram. What is the most appropriate management?

Accepted Answer

Commence intravenous N-acetylcysteine according to standard protocol

Answer

No treatment is required because she is asymptomatic

Answer

Administer activated charcoal only

Answer

Wait and repeat paracetamol level at 24 hours before deciding

Answer

Give oral methionine and discharge

Practice question

A 30-year-old woman presents 10 hours after taking an intentional overdose of paracetamol tablets. She is clinically well. Serum paracetamol concentration taken at 10 hours plots above the treatment line on the Australian paracetamol nomogram. What is the most appropriate management?