QuestionSBA
QuestionChoice
IV fluids are not the most appropriate treatment for this patient. This patient has taken a staggered overdose, and therefore they require management with N-acetylcysteine.
10025179
e
Give IV fluids
QuestionChoice
This patient has taken a staggered overdose, taking two doses over an hour apart. This means the patient should be treated with N-acetylcysteine. Other indications for N-acetylcysteine treatment include uncertainty over the timing of the overdose and the patient being unconscious.
10025175
a
Give N-acetylcysteine
QuestionChoice
Activated charcoal should only be given to patients who are less than an hour post-overdose and have taken more than 75mg/kg. This patient has taken a staggered overdose, and therefore requires treatment with N-acetylcysteine.
10025176
b
Give activated charcoal
QuestionChoice
This patient has taken a staggered overdose, and therefore requires treatment with N-acetylcysteine.
10025177
c
Take paracetamol levels at four hours after the second dose
QuestionChoice
This patient has taken a staggered overdose, and therefore requires treatment with N-acetylcysteine.
10025178
d
Take paracetamol levels at one hour after the second dose
Concept
Chapter
2693
4620
Paracetamol Overdose
Topic
161
Emergency Medicine
17433
A 19-year-old male is brought into the emergency department by his flatmates after taking an overdose of paracetamol. He states that he took a total of 8g of paracetamol at around 6pm and another 6g of paracetamol an hour and a half later. It is now 9pm.

Which of the following is the most appropriate management of this patient?
a