QuestionSBA
QuestionChoice
This is incorrect as Gastric Lavage would only be effective within an hour of ingesting.
10002550
e
Gastric Lavage
QuestionChoice
This is incorrect as activated charcoal is only considered in adults who present within an hour of taking an overdose.
10002547
b
Activated Charcoal
QuestionChoice
This is correct. NAC is a precursor of glutathione which will bind to the NAPQI that can then be excreted really.
10002546
a
IV N-acetylcysteine (NAC)
QuestionChoice
This is incorrect, as transplantation is only considered where the overdose has progressed into Acute Liver Failure.
10002548
c
Liver Transplantation
QuestionChoice
Whilst this is an important referral to consider, it is incorrect in this context as it needs to be ensured the patient is medically stable before a psychiatric referral.
10002549
d
Urgent Psychiatric Assessment
Concept
Chapter
2693
4048
Paracetamol Overdose
Topic
136
Gastroenterology
13056
A 15-year-old girl is brought into the Emergency Department after consuming 64 tablets of paracetamol around 12 hours ago.

What is the most appropriate immediate step to take?
a