A 16yo girl is admitted after taking a paracetamol OD 4 h ago. She has consumed large amounts
of alcohol. Her plasma paracetamol conc is just below the conc that would suggest tx. What
should be the tx option for her?
a. Refer to psychiatry ward
b. Refer to medical ward
c. N-acetylcystine
d. Serum plasma paracetamol
e. No further investigation
Ans. The key is A. Refer to psychiatry ward. [Short term acute alcohol consumption causes enzyme
inhibition as in present case and even then paracetamol level is under tx level. So the patients drug level
is in safe side but simultaneous drug