Acetaminophen (Paracetamol) toxicity Quiz: Ace Your Exams
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A 19-year-old woman is brought to the emergency department by her roommate after ingesting an unknown quantity of acetaminophen tablets. The patient states that she ingested the tablets about 1 hour ago, but she is uncertain about the quantity. She states that she was feeling “overwhelmed and hopeless” about upcoming exams. She currently has no symptoms. Past medical history is unremarkable, and she takes no regular medications. Temperature is 36.8°C (98.2°F), blood pressure is 120/70 mm Hg, pulse is 88/min, respiratory rate is 16/min, and oxygen saturation is 98% on room air. On physical examination, she appears anxious but is otherwise alert and oriented. Her pupils are equal and reactive, and her skin is cool to the touch. Abdominal examination reveals no tenderness or hepatomegaly. Which of the following is the best next step in management?
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