22-year-old Woman in Medicine / Internal Medicine — 22yo Woman | Critical Care | SMLE Q#5636
SMLE Question #5636
Medicine / Internal Medicine
Critical Care
Objective: OBJ-308
Last updated: February 2026
A 22-year-old woman presents to the emergency department after intentionally ingesting 50 tablets of paracetamol (500 mg each). The ingestion occurred about 10 hours ago. She has no abdominal pain or vomiting, no history of liver disease, and takes no regular medications. What is the most appropriate immediate management?
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