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Ep 180 Acetaminophen Poisoning – Pitfalls in Assessment and Management

Emergency Medicine Cases

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What Are the Pitfalls in Interpreting the Nomogram?

When we usually recommend doing a four-hour acetaminophen level, like you suggested in the initial investigation of that acetaminophen poison patient, we would recommend a repeat acetaminophenlevel at the eight-hour and the 12-hour mark. To be sure that if the first level doesn't meet criteria for treatment, that we don't miss the patient who's had delayed absorption. Other scenarios with that's important are those who take their acetaminophen with an opioid. All these combination products, the Tylenol 1s, 2s, and 3s, the Percocets, for example, they all, because of the opioid might be delayed in terms of acet

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