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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How does overdose of Paracetamol affect a toddler?

Haii dr.day before ysday my 3yr half old baby took paracetamol 60ml which is 250mg in 5ml.the bottle was 3/4..onky 15 ml left i rhink..she drunk half of the bottle accidently..20 ml balance there in bottle..at 11pm night she drunk.after that i gave lots of water..but after that she was okke...active..slept night..mrng v take her to dr..dr said aproximatel she took 3gm..not sure..she adiviced to do LFT..the report was normal..after 12 hr v did LFT..now dr adviced to give syp.silybon suspension.syp.liv.52....he said observe her is there any vomitting..discolouration of urine..but still now there is no pro.now 36 hr over..pls advice me is it safe to take medicine..later what is her complicatin..she will cure from this..i m very afraid..
Tue, 27 Feb 2018
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General & Family Physician 's  Response
Hello dear. Welcome to Healthcaremagic. I read your query and I understand your concern.
Gastrointestinal decontamination agents can be used in the emergency setting during the immediate postingestion time frame. Administer activated charcoal (AC) if the patient is alert and presents, ideally, within 1 hour post ingestion. Patients with acetaminophen concentrations below the “possible" line for hepatotoxicity on the Rumack-Matthew nomogram (concentration of acetaminophen in blood monitoring for 24 hours) may be discharged home after they are medically cleared.
Admit patients with acetaminophen concentration above the "possible" line on the Rumack-Matthew nomogram for treatment with N -acetylcysteine (NAC). NAC is nearly 100% hepatoprotective when it is given within 8 hours after an acute acetaminophen ingestion, but can be beneficial in patients who present more than 24 hours after ingestion. NAC is approved for both oral and IV administration.
Take care.
Hope my answer was helpful, if you have any other questions I'll be glad to help you.
Best regards. Dr.Olgeta Xhufka ( general and family physician ).
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