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?