A 28-year-old woman presents after taking an overdose of 20 Paracetamol 500 mg tablets 4 hours ago following an argument with her partner. She now say...

Question

A 28-year-old woman presents after taking an overdose of 20 Paracetamol 500 mg tablets 4 hours ago following an argument with her partner. She now says she regrets it and denies ongoing suicidal intent. Which is the most appropriate immediate management step?

Accepted Answer

Check Paracetamol level and calculate risk on the nomogram; start N-acetylcysteine as indicated

Answer

Discharge with advice because she no longer feels suicidal

Answer

Arrange urgent psychosocial assessment only

Answer

Observe her overnight without investigations

Answer

Give activated charcoal only and discharge

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

A 28-year-old woman presents after taking an overdose of 20 Paracetamol 500 mg tablets 4 hours ago following an argument with her partner. She now says she regrets it and denies ongoing suicidal intent. Which is the most appropriate immediate management step?