Paracetamol Toxicity

History of ingestion of 20 grams:

41-year-old – Paramedic by occupation – Got admitted with History of deliberate self-harm in view of personal issues. History of ingestion of 20G of Paracetamol around 70 mins back. Approximate weight of the patient – 50 kg. No history of any co-ingestants. Patient self-reported to ER.

On Examination, his vitals are as follows

• • GCS – 15/15. Slightly anxious

• • Heart rate – 101/min

• • BP – 134/90 mmHg

• • SpO2 – 99%

• • No Jaundice

• • No clinical bleed, encephalopathy or any signs of overt liver toxicity

• • Basic blood investigations, Point of Care ABG, Capillary blood glucose levels were within normal limits