A 37 year old man presents after a multidrug overdose, 20 hours post ingestion. His Paracetamol level at 20 hours was 43 with a normal ALTRisk Assessment:

Address any resuscitation issues

Drugs and expected course

Dose

Time of ingestion

clinical picture

co morbidities

Supportive care

Investigation – ECG/BSL

Decontamination

Enhanced Elimination

Antidote

THIS PATIENT MUST GET NAC!!!!!

Disposition