ICU SAQs · Toxicology
Paracetamol overdose — the assessment and the management
A CICM Second-Part SAQ on the paracetamol overdose — the nomogram, the NAC regimen, the anaphylactoid reactions, the King's College criteria.
On this page
Study tools
Target exams
CICMFFICMEDIC
Prompt
A patient presents 6 hours after a single 20 g paracetamol ingestion. Outline your assessment and the management.
Question
[4]A patient presents 6 hours after a single 20 g paracetamol ingestion. Outline your assessment and the management.
References3ShowHide
- [1]Dart RC, Mullins ME, Matoushek T, et al. Management of Acetaminophen Poisoning in the US and Canada: A Consensus Statement. JAMA Network Open, 2023.PMID 37552484
- [2]Yarema M, et al. Anaphylactoid Reactions to Intravenous N-Acetylcysteine. Journal of Medical Toxicology, 2018.PMID 29423816
- [4]Smilkstein MJ, Knapp GL, Kulig KW, Rumack BH Efficacy of oral N-acetylcysteine in the treatment of acetaminophen overdose. Analysis of the national multicenter study (1976 to 1985) N Engl J Med, 1988.PMID 3059186