Emergency Record
A 24-year-old client weighing 60 kg reports one ingestion of 30 immediate-release acetaminophen 500-mg tablets at 0100. The calculated exposure is 15 g or 250 mg/kg. Arrival is at 0730, and the timed 4-hour acetaminophen concentration was 185 mcg/mL. The client reports nausea and mild right-upper-quadrant discomfort. AST is 24 U/L, ALT is 21 U/L, INR is 1.0, and creatinine is 0.8 mg/dL. The current order is acetylcysteine 6,000 mg IV as the loading dose.
急診紀錄
一名 24 歲、體重 60 公斤的病人 報告在 0100 攝入 30 顆速效乙醯胺酚 500 mg 錠劑。計算出的暴露量為 15 g 或 250 mg/kg。抵達時間為 0730，定時 4 小時乙醯胺酚濃度為 185 mcg/mL。病人報告 噁心和輕微右上腹不適。AST 為 24 U/L，ALT 為 21 U/L，INR 為 1.0，肌酸酐為 0.8 mg/dL。目前的醫囑是 乙醯半胱胺酸 6,000 mg 靜脈注射作為起始劑量。