Page 1 of 3: Acetaminophen overdose

Dr_Ortho · Credits: 1433 My Scrapbook

A 21 years woman is seen in the ED with a history of acetaminophen overdose 4 houres previously. She is drowsy with a respiratory rate of 24/min. Treatment might include all the following EXCEPT.
1-I.V fluids.
2-Enteric charcoal.
3-Naloxon.
4-Intubation.
5-Acetylcystine therapy.

skouloukoudi · Credits: 2420 My Scrapbook

3-Naloxon

Georges · Credits: 14631 My Scrapbook

4) intubation

skouloukoudi · Credits: 2420 My Scrapbook

3-Naloxone.

What Naloxone can offer to a patient with acetaminophen overdose ?
acetaminophen is not an opiod.

And in this case the patient is drowsy with a respiratory rate of 24/min , intubation might be needed.

jafer · Credits: 811 My Scrapbook

can we use entric active charcoal in drowsy person as aspiration of charcoal is life threating

herrdoktor2 · Credits: 2148 My Scrapbook

I would say charcoal is wrong...

It is usually only helpful in the first 60min and might be contraindicated in drowsy patient.

Altered mental status might also lead to intubation if airway can't be protected or breathing decreases.

Regarding Naloxon: Patient is drowsy 4h post ingestion, normally in the first 24h there is only N/V, malaise, no mental status change with Acetaminophen. As coningestion is commen, giving Naloxon (a universal antidote with no possible negative effects) might be a good idea.

I.V. Fluids and NAC are obviously right.

Georges · Credits: 14631 My Scrapbook

This is an mcc sample question and the answer is INTUBATION

doctormoony · Credits: 9948 My Scrapbook

Hmmmmmmmmmm

i_lightining_girl · Credits: 6651 My Scrapbook

George it sure is MCC question and the answer over-there is IV fluids..
i think its bcuz I/V fluids is not the treatment of overdose its just the supportive strategy

my answer is I/V fuids

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munnacanada · Credits: 5077 My Scrapbook

Charcoal and 4 hrs!.Think I'll go with charcoal

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