A 20-year-old university student presents 4 hours after ingesting an unknown quantity of acetaminophen tablets in a suicide attempt. She is asymptomat...

Question

A 20-year-old university student presents 4 hours after ingesting an unknown quantity of acetaminophen tablets in a suicide attempt. She is asymptomatic. Serum acetaminophen level at 4 hours is above the treatment line on the Rumack-Matthew nomogram. According to toxicology guidance, what is the most appropriate management?

Accepted Answer

Initiate N-acetylcysteine infusion

Answer

Observe without treatment because she is asymptomatic

Answer

Give activated charcoal only

Answer

Admit to psychiatry without medical treatment

Answer

Induce emesis and discharge

ca-mccqe1 MCQ (SBA): Acetaminophen overdose