Q:

An 8 year old child swallowed 12 tablets of paracetamol 4 hour ago. Serum paracetamol levels when tested were at critical level. What would you do next?

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An 8 year old child swallowed 12 tablets of paracetamol 4 hour ago. Serum paracetamol levels when tested were at critical level. What would you do next?


  1. Activated charcoal
  2. IV N-acetylcysteine
  3. Gastric lavage
  4. Observation only

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The key is B. IV N-acetylcystine. [As 4 hour paracetamol level is at critical level start IV N-acetyltine at once].

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