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MediumEmergencyAcetaminophen overdoseca-mccqe1ca-rcpsc-em

A 22-year-old woman presents 3 hours after ingesting an unknown quantity of acetaminophen in a suicide attempt. She is asymptomatic. Her serum acetaminophen level is drawn now and plotted on the Rumack-Matthew nomogram above the treatment line. What is the most appropriate management?

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