A 19-year-old woman presents 5 hours after ingesting 20 tablets of Paracetamol 500 mg (10 g total) in an impulsive overdose. She weighs 60 kg. What is...

Question

A 19-year-old woman presents 5 hours after ingesting 20 tablets of Paracetamol 500 mg (10 g total) in an impulsive overdose. She weighs 60 kg. What is the most appropriate management?

Accepted Answer

Take a Paracetamol level at 4 hours post-ingestion and use the UK treatment nomogram to decide on intravenous N-acetylcysteine

Answer

Discharge as the dose is below toxic threshold

Answer

Give activated charcoal only and no further treatment

Answer

Wait 24 hours then check liver function tests

Answer

Treat with oral Methionine only

uk-plab-1 MCQ (SBA): Paracetamol poisoning

A 19-year-old woman presents 5 hours after ingesting 20 tablets of Paracetamol 500 mg (10 g total) in an impulsive overdose. She weighs 60 kg. What is the most appropriate management?