A 33-year-old man presents after ingesting an unknown quantity of Paracetamol 4 hours ago in a suicide attempt. He is otherwise well and has no liver ...

Question

A 33-year-old man presents after ingesting an unknown quantity of Paracetamol 4 hours ago in a suicide attempt. He is otherwise well and has no liver disease. What is the most appropriate next step in management?

Accepted Answer

Measure serum Paracetamol level at 4 hours post-ingestion and use the nomogram to guide N-acetylcysteine therapy

Answer

Wait 24 hours then check liver function tests

Answer

Give activated charcoal only and discharge

Answer

Start intravenous corticosteroids

Answer

Discharge if asymptomatic without blood tests

au-amc MCQ (SBA): Paracetamol overdose

A 33-year-old man presents after ingesting an unknown quantity of Paracetamol 4 hours ago in a suicide attempt. He is otherwise well and has no liver disease. What is the most appropriate next step in management?