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18 Oct 2016 - General

A young lady, with previous background history of depression, was brought in to emergency department by her parent, due to her intentional overdose of paracetamol (of 35 tablets of 500mg tablest), with suicidal attempt. She did took the overdose of paracetamol, around 6-7 hours prior to attending casualty. She denied taking any other medication, and also denied drinking any alcohol involved. She did felt some minimal regret of taking the overdose. Her mood has been low for the last few days, which may contribute to the event. Clinically, patient is asymptomatic, with normal vital sign. Her liver function test, and coagulation profile (INR) were normal. Her paracetamol level was well above the treamtent line. What are the treatment that she should be given ? Apart from the medical treatment,  what other managment plan should be implemented as well?

Yes, intravenous N-acetylcysteine (NAC) will be treatment of choice for her paracetamol overdose. The treatment should be commenced as early as possible during the admission. Patient’s liver function test and coagulation profile should be monitored c...
 (Total 109 words)
You Yi Hong She has taken paracetamol 6-7hr back so as said by Mahmoud AbdelAziz acetylcysteine is the best antidote continue fo...
 (Total 80 words)
Given the facts that this was in the context of a suicide attempt and her blood paracetamol level is higher than the safe line after 6 hours, she must receive N Acetyl Cysteine. Intravenous acetylcysteine is the antidote to treat paracetamol overdose...
 (Total 128 words)