SAQ 533 – Toxicology – staggered paracetamol ingestion

A 26-year-old man presents with right upper quadrant pain and vomiting after taking regular paracetamol tablets plus a paracetamol-containing cold and flu preparation for 4 days.

List three (3) risk factors for hepatic injury from supratherapeutic paracetamol ingestion.

(Marked out of 3.0)

/ 3

State the paracetamol dose associated with hepatic injury in each situation.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Situation</th> <th>Dose associated with hepatic injury</th> </tr> </thead> <tbody> <tr> <td>Adult with risk factors</td> <td></td> </tr> <tr> <td>Adult with no risk factors, <24 hours</td> <td></td> </tr> <tr> <td>Adult with no risk factors, >24 hours</td> <td></td> </tr> </tbody> </table> <p>

/ 3

He is at risk and needs biochemical assessment. State one (1) relevant test result requiring no treatment and one requiring further treatment.

(Marked out of 2.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Outcome</th> <th>Relevant test result</th> </tr> </thead> <tbody> <tr> <td>No treatment required</td> <td></td> </tr> <tr> <td>N-acetylcysteine required</td> <td></td> </tr> </tbody> </table> <p>

/ 2

He requires an N-acetylcysteine infusion. List five (5) important points to explain about the infusion and ongoing management.

(Marked out of 5.0)

/ 5

List two (2) measures an ED could use to educate patients about paracetamol.

(Marked out of 2.0)

/ 2

Total Score: 0 / 15

Percentage: 0%