A patient in the clinic reports taking a handful of acetaminophen extra-strength tablets about 12 hours prior. The patient has nausea, vomiting, malaise, and drowsiness
The patient's aspartate aminotransferase and alanine aminotransferase are mildly elevated. The primary care NP should: a. expect the patient to sustain permanent liver damage.
b. reassure the patient that these symptoms are reversible.
c. tell the patient that acetylcysteine cannot be given this late.
d. administer activated charcoal to remove acetaminophen from the body.
A
After acetaminophen overdose, if liver enzymes are elevated within 24 hours, irreversible liver damage is likely. Acetylcysteine may still be given to mitigate the effects. Activated charcoal is effective only when given immediately.
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