症例 challenge · Emergency / Toxicology · teaching

Acetaminophen (Paracetamol) Poisoning — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Rumack-Matthew / NAC

Case #1Emergency / Toxicology

📋 Case data

Dose & timing assessmentKnown time, 4 h level obtainable
Level vs nomogramAt or above the treatment line

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · Dose & timing assessment

What is the ingestion situation?

💡 An acute single ingestion ≥150 mg/kg (about 7.5–10 g in an adult) carries toxicity risk. Confirm the time of ingestion (needed for the nomogram). Early (<1–2 h, especially large ingestions) activated charcoal may be used.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.