nbme q4 - myusmle

[ArchivalUser]

An 18-year-old man attempts suicide by taking 15 g of acetaminophen. Four hours after the overdose, high levels of acetaminophen are found in the plasma. The most appropriate therapy is
A) hemodialysis
B) oral administration of aspirin
C) oral administration of N-acetylcysteine
D) respiratory support and watchful waiting
E) urinary alkalinization and forced diuresis

[ArchivalUser]

C...

[ArchivalUser]

C...

[ArchivalUser]

c

[ArchivalUser]

c

[ArchivalUser]

N-acetylcysteine is for rapid assessment , this pt would need hemodialysis ans A

[ArchivalUser]

c,n-acetylcystiene will still be effective in the first 8-12 hrs