Lab Case 140

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A 37 year old man presents 20 hours after an overdose of 20 paracetamol tablets, 20 Ibuprofen tablets and 2.5 grams of Quetiapine.

His Paractemol nomogram is attached

 PARACETAMOL (Serum)

  Date   Hours Post   Result   Lab.No.     210
         Ingestion     mg/L              P  |
                                         a 180
                                         r  |
                                         a 150      .
                                         c  |
                                         e 120                    A
31/03/17    N/A         43     84885964  t  |           .
                                         a  90
        #  Plotted Result                m  |               .
                                         o  60      B           .
       ... Reference Intervals           l  |                       .
                                            30                          .
 A - Treatment recommended
 B - Treatment not recommended                  2---4---6---8--10--12--14
 (MJA 2008;188(5):296-301)                         Hours Post Ingest

ALT 19
Describe your risk assessment
How would you treat him?