![]() The patient recovered over the next 24 hours with conservative management and N-acetylcysteine. ![]() However, despite evidence of acute fulminant hepatitis due to chronic acetaminophen overdose, the antidote, N-acetylcysteine, was held for 10 hours because acetaminophen levels were less than 10 mcg/mL, deemed to be below the toxic level. The patient was admitted to the hospital and given broad-spectrum antibiotics and a diagnosis of "influenza/possible sepsis." Further questioning revealed the patient had taken 1 g of acetaminophen every 4 hours since her initial ED visit. Laboratory tests revealed leukocytosis, transaminitis in the thousands, and lactic acidosis. Influenza B polymerase chain reaction was positive and Oseltamivir was started. She was admitted to the ward and physical examination revealed lethargy, tachycardia, tachypnea, and generalized abdominal tenderness. Two days later, she presented again to the ED, this time with shortness of breath and abdominal pain. She was diagnosed with gastroenteritis and discharged with ondansetron and bismuth subsalicylate. Thirty hours later, the patient returned to the ED with continued symptoms and new abdominal cramps. She was diagnosed with a viral upper respiratory infection, given IV fluids and acetaminophen, and discharged home with advice to continue taking acetaminophen as needed to control the fever. Check with your physician if you have health questions or concerns.An 18-year-old woman, 27 weeks pregnant, presented to the emergency department (ED) after a week of respiratory congestion, nausea, and fever. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Therefore, before using this drug, tell your doctor or pharmacist of all the drugs you use. Visit the RxList Drug Interaction Checker for any drug interactions. This information does not contain all possible interactions or adverse effects. Acetylcysteine (Antidote) has minor interactions with the following drugs:.Acetylcysteine (Antidote) has moderate interactions with the following drug:.Acetylcysteine (Antidote) has serious interactions with no other drugs. ![]()
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