If less than 4 hours then wait for
level before starting NAC, if 4-8
hours and rapid turnaround time for
getting result back then wait for
level, if >8 hours start NAC prior to
level.
Although NAC is very safe there are
some cases of death relating to
anaphylaxis so not a risk free
treatment.
Ed
Dr Ed Valentine
BM FCEM MRCP MSc (Critical Care)
DipIMC RCSEd
SpR Emergency Medicine and Critical
Care
HEMS Doctor Great Western Air
Ambulance
Immediate Care Doctor - Wiltshire
BASICS
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Mobile: 07748 303324
www.swiftmedics.net
On Wed, 13 Jun 2012 23:21:07 +0100
John Ryan <[log in to unmask]>
wrote:
> How do list members manage the
>'alleged' toxic paracetamol overdose
>?
>
> Start N-acetylcysteine straight up
>if less than 4 hours or wait for 4
>hour paracetamol level ?
>
> Any difference if paracetamol level
>available before 8 hours ?
>
> Any difference if patient in high
>risk, (lie eligible for lower level
>on graph)
>
> John Ryan
>
>
> See you at ICEM 2012 in Dublin 27th
>-20th June
>
> (wwww.ICEM2012.org)
>
>
>
>
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