Acetaminophen Serum Levels (Rumach-Matthew Nomogram)

Purpose: To correlate the serum levels of acetaminophen after overdosage with outcome.

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Evaluation

Are you evaluating a patient who has taken an overdose of acetaminophen? (Y or N)

Yes

Hours since acetaminophen ingested

hours

Serum levels of acetaminophen at that time

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Breakpoint for liver disease at stated time

Serum level seen:

Severe liver disease is:

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Clinical Findings of Opioid Toxicity in Patient Treated for Pain
- Pseudosepsis Syndrome in Salicylate Intoxication

Therapy

Selection
Dosage Calculations
- Clinical Findings of Opioid Toxicity in Patient Treated for Pain
Prevention
- Pulmonary Syndromes Complicating Salicylate Therapy

Monitoring

Adverse Effects
Overdose And Reversal
- When to Suspect Salicylate Intoxication in an Elderly Patient

Specialty

Toxicology
Emergency Medicine
Critical Care

Objective

laboratory tests

ICD-10

T39 - Poisoning by nonopioid analgesics, antipyretics and antirheumatics
K72 - Hepatic failure, not elsewhere classified

Info

Purpose: To correlate the serum levels of acetaminophen after overdosage with outcome.

Specialty: Toxicology, Emergency Medicine, Critical Care

Objective: laboratory tests

ICD-10: T39, K72,

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