09-05-2011, 08:37 AM
A 19-year-old 60-kg (132-lb) woman presents for treatment 3 hours after ingesting 35 500-mg tablets of extra-strength acetaminophen. She is otherwise healthy, and a rapid pregnancy test is negative. The results of the measurement of her serum acetaminophen level will be available within 4 to 6 hours. The patient is awake and cooperative and denies any symptoms.
Which of the following courses of therapy is most appropriate?
(A) Administer syrup of ipecac and wait for the laboratory results.
(B) Administer activated charcoal and wait for the laboratory results.
© Start treatment with oral N-acetylcysteine without waiting for the laboratory results.
(D) Perform gastric lavage and wait for the laboratory results.
(E) Administer a loading dose of N-acetylcysteine intravenously and wait for the laboratory results
Which of the following courses of therapy is most appropriate?
(A) Administer syrup of ipecac and wait for the laboratory results.
(B) Administer activated charcoal and wait for the laboratory results.
© Start treatment with oral N-acetylcysteine without waiting for the laboratory results.
(D) Perform gastric lavage and wait for the laboratory results.
(E) Administer a loading dose of N-acetylcysteine intravenously and wait for the laboratory results