Q:

A 22 year old says she has taken about 40 tablets of paracetamol 3 hours ago. Her heart rate is 110bpm, BP=110/80mmHg and respiratory rate 22bpm. What’s the initial management?

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A 22 year old says she has taken about 40 tablets of paracetamol 3 hours ago. Her heart rate is 110bpm, BP=110/80mmHg and respiratory rate 22bpm. What’s the initial management?


  1. Activated charcoal
  2. N-acetyl cysteine
  3. Gastric lavage
  4. Wait for 4h paracetamol level

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The key is D. Wait for 4h paracetamol level.

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