A 16-year-old girl has been admitted to the emergency department after ingesting 20 g of acetaminophen (Tylenol) in a suicide attempt
The care team would recognize that this client faces a severe risk of acute fulminant hepatitis, with elevated ammonia levels that can result in: Select all that apply.
A) Flapping tremor (asterixis)
B) Confusion
C) Convulsions
D) Elevated creatinine levels
E) Photosensitivity
Ans: A, B, C
Feedback:
Among the manifestations of the direct, predictable liver injury that accompanies overdoses of acetaminophen is acute fulminant hepatitis. A very early sign of hepatic encephalopathy is a flapping tremor called asterixis. It also results in CNS signs/symptoms of confusion, coma, and convulsions. Elevated creatinine levels are not usually associated with acute fulminant hepatitis.
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