CSA Stage 1 (IX)

1. If a patient has overdosed on paracetamol for less than 4hrs but more than an hour, what is the next step?

Check paracetamol levels and plot against time on the nomogram (if above or on the treatment line, administer N-acetylcysteine)
Start N-acetylcysteine immediately and check paracetamol levels (if levels are below treatment line, discontinue - if levels above treatment line continue treatment)
Start N-acetylcysteine, check paracetamol levels (if levels are below treatment line, discontinue - if levels above treatment line continue treatment) and measure AST/ALT
Do paracetamol levels from 4hrs of time of ingestion. If toxic dose taken then start N-acetylcysteine
Activated charcoal and do paracetamol levels 4 hrs from time of ingestion

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A special diet (ketogenic diet) that can help control seizures
Medication is temporary, as condition always subsides after a couple of years strict use
Anti-epileptic drugs – these are the main treatment
Surgery to remove a small part of the brain that's causing the seizures
A procedure to put a small electrical device inside the body that can help control seizures

Collapsing
Becoming stiff
Strange sensations, such as a "rising" feeling in the tummy, unusual smells or tastes, and a tingling feeling in your arms or legs
Uncontrollable jerking and shaking, called a "fit"
Vomiting
Losing awareness and staring blankly into space

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