Ep 180 Acetaminophen Poisoning – Pitfalls in Assessment and Management
Emergency Medicine Cases
The Seven Pitfalls of Acetaminophen Dosing
When doing laboratory investigations for an acetaminophen poison patient, remember to wait for the four hour mark before you draw your acetaminophen concentration. The massive overdose looks like a different toxidrome. They're the patient with the altered level of consciousness. Early after the exposure, a lactic acidosis, a pH that's very low,. Maybe hypothermia early after their exposure before you have any evidence of liver enzyme elevation. Think about acetaminophen as being the etiology of your hepatitis in a patient where you don't have any other obvious cause because NAC can be a treatment even after acetaminophen is already gone.
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