Paracetamol Poisoning

Information contained on this page is to assist in the investigation and management of patients with suspected paracetamol poisoning

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

Paracetamol Nonogram


 NAC protocol

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:

NAC protocol

The NAC Dosing for Paracetamol Poisoning labels can be found on the main flight deck in front of cubicles R5-R6.


Date implemented – 03/2015
Revision date – 03/2018
Author – Alan Gault, Michael Baker

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