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- Title
Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal.
- Authors
Lamichhane, Pratik; Pokhrel, Kailash Mani; Bhandari, Bijay; Agrawal, Anushka; Ghimire, Bhumika; Shilpakar, Olita
- Abstract
We present a case of self‐poisoning with a massive dose of paracetamol by a young Nepalese female patient who presented late to our emergency department. This report highlights the successful management of the patient with the extended use of N‐acetylcysteine over 4 days and continuous supportive therapy as required. The case is an example of the management of delayed presentation of a massive paracetamol poisoning in a resource‐limited setting, where intensive care units and hemodialysis facilities are not easily available. However, when available, massive poisoning should always be managed in continuous monitoring units under the expertise of a toxicologist.
- Subjects
NEPAL; DRUG overdose; HEMODIALYSIS facilities; ACETAMINOPHEN; ACCIDENTAL poisoning; INTENSIVE care units
- Publication
Clinical Case Reports, 2022, Vol 10, Issue 12, p1
- ISSN
2050-0904
- Publication type
Case Study
- DOI
10.1002/ccr3.6733