A 48-year-old man presents to A and E after ingesting approximately 20 grams of Paracetamol 2 hours ago in a deliberate overdose. He is currently asym...

Question

A 48-year-old man presents to A and E after ingesting approximately 20 grams of Paracetamol 2 hours ago in a deliberate overdose. He is currently asymptomatic. What is the most appropriate immediate management

Accepted Answer

Take blood for Paracetamol level at 4 hours post-ingestion and consider N-acetylcysteine according to the nomogram

Answer

Reassure and discharge as he is asymptomatic

Answer

Wait until 12 hours post-ingestion to check Paracetamol level

Answer

Start haemodialysis immediately

Answer

Give activated charcoal at 24 hours post-ingestion

uk-plab-1 MCQ (SBA): Acute Paracetamol overdose

A 48-year-old man presents to A and E after ingesting approximately 20 grams of Paracetamol 2 hours ago in a deliberate overdose. He is currently asymptomatic. What is the most appropriate immediate management