SAQ 1569 – Slow-release paracetamol overdose and liver transfer criteria

Marked out of 10.00

A 30-year-old man presents after an intentional slow-release paracetamol overdose.

After initial assessment he is commenced on an N-acetylcysteine infusion while awaiting results. His 6-hour serum paracetamol concentration is shown on the nomogram below.

Paracetamol treatment nomogram with 6-hour concentration marked
Paracetamol nomogram.

List two indications for activated charcoal in this presentation.

(Marked out of 2.0)


/ 2

List three criteria that must be met before N-acetylcysteine is ceased.

(Marked out of 3.0)


/ 3

List five criteria for transfer to a liver transplant service if hepatotoxicity develops.

(Marked out of 5.0)


/ 5

Total Score: 0 / 10

Percentage: 0%