Acetaminophen (Paracetamol) toxicity Quiz: Ace Your Exams
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A 32-year-old woman presents to the emergency department with nausea, vomiting, and malaise over the past 12 hours. She states that she took an unknown quantity of acetaminophen tablets about 22 hours ago after an argument with her partner. Her past medical history is significant for depression, for which she takes sertraline. Temperature is 36.7°C (98.1°F), pulse is 80/min, blood pressure is 110/70 mm Hg, respiratory rate is 17/min, and oxygen saturation is 98% on room air. Physical examination reveals pallor but is otherwise unremarkable. Her abdomen is soft and nontender without hepatomegaly. Initial laboratory findings are within normal limits, including liver enzymes. Which of the following is the best next step in evaluation?
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