A 30-year-old woman presents 8 hours after ingesting 20 tablets of 500 mg Paracetamol (10 g) in a deliberate overdose. She weighs 60 kg. She feels wel...

Question

A 30-year-old woman presents 8 hours after ingesting 20 tablets of 500 mg Paracetamol (10 g) in a deliberate overdose. She weighs 60 kg. She feels well. What is the most appropriate next step?

Accepted Answer

Check plasma Paracetamol level immediately and use the treatment nomogram to decide on N-acetylcysteine

Answer

Discharge as she is asymptomatic

Answer

Check a plasma Paracetamol level at 4 hours post-ingestion and act only if abnormal

Answer

Give activated charcoal only

Answer

Start N-acetylcysteine in all Paracetamol overdoses without blood tests

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

A 30-year-old woman presents 8 hours after ingesting 20 tablets of 500 mg Paracetamol (10 g) in a deliberate overdose. She weighs 60 kg. She feels well. What is the most appropriate next step?