Acetaminophen Toxicity Evaluation

Patient Name: Patient ID#:

1000
severe liver damage probable

Acetaminophen Conc (g/mL)

Time of Ingestion: 0:00 Time Level 1 Drawn: Time Level 2 Drawn: Time Level 3 Drawn: Concentration 1 Concentration 2 Concentration 3

HoursConc. 0.1 0.1 0.1 ### ### ###

possible risk

1 1 1

100
Too Early to Tell

10

The acetaminophen nomogram should not be used on patients who are alcoholics or are suffering from starvation or severe disease states.

0.0

4.0

8.0 12.0 16.0 20.0 Hours Post Ingestion

24.0

N-Acetyl-Cysteine Dosing for Acetaminophen Toxicity

Patient Name: Patient ID#: Patient Weight (lbs): or Patient Weight (kg): 0.0 0 0

N-Acetyl-Cysteine Dosing
Loading Dose mg of NAC mL 0f 20% NAC mL of diluent total volume Diluent can be water, try Coke, or Doctor Pepper to mask the taste. Dosing includes loading dose followed by 17 maintenance doses. All dosing is oral, call Medical Toxicology Service if patient cannot tolerate oral dosing (984-1675). Loading Dose if AC in 2 hr Maintenance Dose (x 17 doses)

N-Acetyl-Cysteine Dosing for Acetaminophen Toxicity

Patient Name: Patient ID#: Patient Weight (lbs): or Patient Weight (kg): 0 0

IV N-Acetyl-Cysteine Dosing
Loading Dose NAC (mg) volume of D5W Infusion time infusion rate Loading Dose: 150mg/kg in 200 mL D5W over 60 min Treatment Dose: 50 mg/kg in 500 mL D5W over 4hours Maintence Dose: 100 mg/kg in 1000 mL D5W over 16 hours Treatment Dose Maintenance Dose