Click on the below image to link to the 2015 guidelines for the management of paracetamol poisoning in Australia and New Zealand.
Risk assessment based on dose
Flow-chart for ingestion with known time of ingestion
Flow-chart for supra therapeutic paracetamol ingestion
Remember : all patients who require NAC need:
- To be weighed and the weight written on the N-acetylcysteine dosing label (see below)
- The appropriate dose of N-acetylcysteine for their weight circled on the label
- Label placed in the medical notes
- Then the N-acetylcysteine in dextrose will still have to be charted on the iv fluid order chart as per usual
Below is a link to a pdf copy of the NAC Dosing for Paracetamol Poisoning labels:
The NAC Dosing for Paracetamol Poisoning labels can be found on the main flight deck in front of cubicles R5-R6.