A female, Lalita, aged 26 yrs accidentally takes 100 tablets of paracetamol. What is treatment of choice:
D i.e. Acetyl cysteine In cases of moderate to severe poisoning of paracetamol, N? acetyl cysteine (mucomyst) should be givenQ orally within 24 hours of overdose to prevent hepatic damage. Treatment of Paracetamol poisoning 1. Gastric lavage - useful in < 4 hours. 2. < 2.5 lit fluid daily, as pcm 1/t fluid retention 3. N-acetyl cysteineQ (Treatment of choice) 4. Hemodialysis for ARF
Lavage with charcoal
Dialysis
Alkaline diuresis
Acetyl cystein