Question

A 19-year-old woman presents 4 hours after ingesting 15 g of immediate-release paracetamol in a deliberate overdose. She weighs 60 kg. Serum paracetamol concentration at 4 hours is 190 mg/L (1,250 µmol/L). According to Australian guidelines, what is the most appropriate management?

Accepted Answer

Start intravenous N-acetylcysteine based on the nomogram

Answer

No treatment is required as the level is below 200 mg/L

Answer

Start oral activated charcoal only

Answer

Observe for 24 hours without treatment

Answer

Start haemodialysis

Practice question

A 19-year-old woman presents 4 hours after ingesting 15 g of immediate-release paracetamol in a deliberate overdose. She weighs 60 kg. Serum paracetamol concentration at 4 hours is 190 mg/L (1,250 µmol/L). According to Australian guidelines, what is the most appropriate management?