23-year-old Woman in Medicine / Internal Medicine — 23yo Woman | Infectious Diseases | SMLE Q#2048

SMLE Question #2048

Medicine / Internal Medicine Infectious Diseases

Objective: OBJ-349

Last updated: February 2026
A 23-year-old woman (45 kg) presents to the emergency department 6 hours after ingesting 15 tablets of paracetamol 500 mg. She is alert, and activated charcoal was administered on arrival. A serum paracetamol concentration was sent and is pending. What is the most appropriate next step in management?

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