Practice
Treating acetaminophen overdose
Marco L.A. Sivilotti, Mark C. Yarema and David N. Juurlink
CMAJ April 19, 2022 194 (15) E554; DOI: https://doi.org/10.1503/cmaj.210703
Marco L.A. Sivilotti
Departments of Emergency Medicine, and of Biomedical and Molecular Sciences (Sivilotti), Queen’s University, Kingston, Ont.; Department of Emergency Medicine (Yarema), University of Calgary, Calgary, Alta.; Poison and Drug Information Service, Section of Clinical Pharmacology and Toxicology (Yarema), Alberta Health Services, Calgary, Alta.; Departments of Medicine, of Pediatrics and of Health Policy, Management, and Evaluation (Juurlink), University of Toronto; Ontario Poison Centre (Sivilotti, Juurlink), Hospital for Sick Children, Toronto, Ont.
MD MScMark C. Yarema
Departments of Emergency Medicine, and of Biomedical and Molecular Sciences (Sivilotti), Queen’s University, Kingston, Ont.; Department of Emergency Medicine (Yarema), University of Calgary, Calgary, Alta.; Poison and Drug Information Service, Section of Clinical Pharmacology and Toxicology (Yarema), Alberta Health Services, Calgary, Alta.; Departments of Medicine, of Pediatrics and of Health Policy, Management, and Evaluation (Juurlink), University of Toronto; Ontario Poison Centre (Sivilotti, Juurlink), Hospital for Sick Children, Toronto, Ont.
MDDavid N. Juurlink
Departments of Emergency Medicine, and of Biomedical and Molecular Sciences (Sivilotti), Queen’s University, Kingston, Ont.; Department of Emergency Medicine (Yarema), University of Calgary, Calgary, Alta.; Poison and Drug Information Service, Section of Clinical Pharmacology and Toxicology (Yarema), Alberta Health Services, Calgary, Alta.; Departments of Medicine, of Pediatrics and of Health Policy, Management, and Evaluation (Juurlink), University of Toronto; Ontario Poison Centre (Sivilotti, Juurlink), Hospital for Sick Children, Toronto, Ont.
MD PhDArticle Figures & Tables
There are no figures or tables available.
In this issue
Article extras
Article tools
Respond to this article
Treating acetaminophen overdose
Marco L.A. Sivilotti, Mark C. Yarema, David N. Juurlink
CMAJ Apr 2022, 194 (15) E554; DOI: 10.1503/cmaj.210703
Jump to section
- Article
- Acetaminophen overdose remains common
- Clinicians should treat overdoses empirically with acetylcysteine, unless clearly unnecessary
- Acetylcysteine should be continued until the patient meets stopping criteria based on individualized serial testing
- Massive overdose with early-onset coma and lactic acidosis requires more intense treatment
- A medical toxicologist should be consulted for the most current recommendations
- Footnotes
- References
- Figures & Tables
- Related Content
- Responses
- Metrics
Related Articles
Cited By...
- No citing articles found.