A 30-year-old man presents 6 hours after ingesting an uncertain but likely large amount of acetaminophen in a suicide attempt. Serum acetaminophen lev...

Question

A 30-year-old man presents 6 hours after ingesting an uncertain but likely large amount of acetaminophen in a suicide attempt. Serum acetaminophen level plotted on the Rumack-Matthew nomogram is above the treatment line. What is the most appropriate management?

Accepted Answer

Administer N-acetylcysteine as soon as possible

Answer

Observe without treatment as more than 4 hours have passed

Answer

Give activated charcoal only

Answer

Start haemodialysis immediately

Answer

No specific therapy is available

ca-mccqe1 MCQ (SBA): Acetaminophen poisoning

A 30-year-old man presents 6 hours after ingesting an uncertain but likely large amount of acetaminophen in a suicide attempt. Serum acetaminophen level plotted on the Rumack-Matthew nomogram is above the treatment line. What is the most appropriate management?