> The normogram represents likely risk of liver damage, not paracetamol
> absorption.
>
> It doen't predict future paracetamol levels, which may continue to rise, after
> say, a 4 hour level. We infrequently repeat levels, so have little knowledge of
> levels at T (x).
>
> I don't think this is a conundrum.
>
> However, we should repeat Salicylate levels to make sure that they don't
> continue to rise, because Aspirin alters it's own absorption.
>
> Kind regards
>
> Adrian Kerner
The nomogram does however represent the typical elimination pattern of paracetamol. Yes, it is recognised that paracetamol/opioid combinations in particular can be associated with delayed gastric emptying and therefore delayed absorption.
Adrian Fogarty
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