IMPORTANT CLINICAL POINTS: If patient has ingested >150mg/kg of Paracetamol, then treatment depends on timing of presentation 1. if patients presents within < 1 Hour of ingestion : Give Activated Charcoal(1g/kg max upto 50g). then wait for 4 hours post ingestion and send paracetamol levels, if still elevated (100mg/L at 4 hours) give NAC. 2. if patients presents within 1-3 Hours of ingestion : Activated charcoal has no role. Wait for 4 hours post ingestions and send paracetamol levels (It means that if patient took paracetamol at 12pm, presented to hospital at 2pm, then doctor should wait for 2 hours and send paracetamol levels at 4pm), if still elevated (100mg/L at 4 hours) give NAC. 3. if patients presents within 4-8 Hours of ingestion : Don't Wait, take blood immediatly and check Paracetamol levels, if elevated Start NAC 4. if patients presents after 8 Hours of ingestion: Give NAC straightaway, after giving NAC send blood sample for paracetamol levels. 5. If time of ingestion unknown: Give NAC DON'T FORGET TO CLICK ON SUBSCRIBE BUTTON 😊 FOLLOW ME ON Instagram: instagram.com/docwaqasfazal/ Facebook: facebook.com/Drwaqasfazal
Hi sir.I have question how can we different post hepatic jaundice ,pre ,post haptic jaundice symptoms rather then paracetamol poisoning bcz the syomtams almost some seen daily practice
Thanks for video. I have a question in term of treatment. If the patient has diabetes can we use saline infusion instead of glucose at the same dose like glucose
If 45 mins passed and patient ingested 15 maximum strenght of acetaminophen whatbis the PRIORITY antidote or gastric lavage ? I saw questions that have diferebt answers 15 yrs old and a Child ?
Sir yesterday i have mistakenly taken calpol 600 and algina 500 both 3 times a day sir what should i do would it affect me plzz reply sir i am too much scared about it
Syed Ahsan If patient has ingested >150mg/kg of Paracetamol, then treatment depends on timing of presentation 1. if patients presents within < 1 Hour of ingestion : Give Activated Charcoal. then wait for 4 hours post ingestion and send paracetamol levels, if still elevated give NAC. 2. if patients presents within 1-3 Hours of ingestion : Activated charcoal has no role. Wait for 4 hours post ingestions and send paracetamol levels, if still elevated give NAC. 3. if patients presents within 4-8 Hours of ingestion : Don't Wait, take blood immediatly and check Paracetamol levels, if elevated Start NAC 4. if patients presents after 8 Hours of ingestion: Give NAC straightaway, after giving NAC send blood sample for paracetamol levels.
Please help. Accidentally I gave 2ml paracetamol to my 10 months baby by mistake. Doctor prescribed 1.2 ml. Do I have to worry? Now its 2 and half hours and he looks normal and very active
Don’t worry….bt next time u should be more conscious….pcm is hepatotoxic when u consume it for long time with overdose….bt incase of child does is very important….so don’t do that again
If patient has ingested >150mg/kg of Paracetamol, then treatment depends on timing of presentation 1. if patients presents within < 1 Hour of ingestion : Give Activated Charcoal. then wait for 4 hours post ingestion and send paracetamol levels, if still elevated give NAC. 2. if patients presents within 1-3 Hours of ingestion : Activated charcoal has no role. Wait for 4 hours post ingestions and send paracetamol levels, if still elevated give NAC. 3. if patients presents within 4-8 Hours of ingestion : Don't Wait, take blood immediatly and check Paracetamol levels, if elevated Start NAC 4. if patients presents after 8 Hours of ingestion: Give NAC straightaway, after giving NAC send blood sample for paracetamol levels.
Hi, my friend took 20 paracetamols and experienced extreme liver pain and vomiting/nausea etc. This was months ago and she has had no treatment. What do I do?
لا خطأ الباراستمول مضر وفيه جرعة محددة له و هي اكبر من 150 ملي غرام لكل كيلو غرام للشخص البالغ يعني اضرب الوزن في 150 تطلع الجرعة السامة من الباراسيتامول اللي تأثر على الشخص و تسمم الباراسيتامول يؤدي الى تسمم الكبد وفشله، فمعلومتك خطأ أن الجرعة الزائدة غير مهمة ويا ريت ما تنشر معلومات طبية خطأ لمتابعينك خصوصا اغلبهم يعتمد على كلامك و ممكن يتألم وياخذ باراسيتامول اكثر من المطلوب ويفشل كبده ويموت واصلا الجرعة التي لا يسمح بتجاوزها للبالغين هو اربعة غرام خلال 24 ساعة و البنت اخذت ٦ خلال ساعة يعني تجاوزت الجرعة التي ينصح بها اصلا انا طالبة طب و هذا الكومنت للفائدة، يا ريت تثبته حتى المتابعين يدرون اكيد انت ما كنت تدري بعد 🌱
@@MedNerdDrWaqasFazal I took 12 paracetamol of 500 mg yesterday and I vomited after one hour and then Somehow I managed to sleep after that waking up in the morning I realized that it will damage my liver and I will be a burden for everyone I told my sister and she told me drink tamarind juice to vomit and I drank that after 12-14 hours later of overdose and I vomited but nothing came out except that tamarind juice now 24 hour’s have passed but I am unable to visit doctor as I am a student of class 10. I am having pain in my lower stomach. If you can tell me any solution please help me I need help.
IMPORTANT CLINICAL POINTS:
If patient has ingested >150mg/kg of Paracetamol, then treatment depends on timing of presentation
1. if patients presents within < 1 Hour of ingestion : Give Activated Charcoal(1g/kg max upto 50g). then wait for 4 hours post ingestion and send paracetamol levels, if still elevated (100mg/L at 4 hours) give NAC.
2. if patients presents within 1-3 Hours of ingestion : Activated charcoal has no role. Wait for 4 hours post ingestions and send paracetamol levels (It means that if patient took paracetamol at 12pm, presented to hospital at 2pm, then doctor should wait for 2 hours and send paracetamol levels at 4pm), if still elevated (100mg/L at 4 hours) give NAC.
3. if patients presents within 4-8 Hours of ingestion : Don't Wait, take blood immediatly and check Paracetamol levels, if elevated Start NAC
4. if patients presents after 8 Hours of ingestion: Give NAC straightaway, after giving NAC send blood sample for paracetamol levels.
5. If time of ingestion unknown: Give NAC
DON'T FORGET TO CLICK ON SUBSCRIBE BUTTON 😊
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Thank u for the video it is awesome
hey I take 6 paracetamol at one time . Now I am suffering from vomit so what I have to do
You are such a quintessential teacher your way of teaching is pulchritudinous.
Thnku so much sir, no one explained me like this... Amazing sir. It's very helpful for us at phc level for Medical officers
Excellent presentation ,helps so much
A very informative lecture sir ❤️
We subscribers are very grateful getting teacher/enabler like you sir ❤️🇳🇵
Much love from Nepal sir 🇳🇵
Hi sir.I have question how can we different post hepatic jaundice ,pre ,post haptic jaundice symptoms rather then paracetamol poisoning bcz the syomtams almost some seen daily practice
Thanks for video. I have a question in term of treatment. If the patient has diabetes can we use saline infusion instead of glucose at the same dose like glucose
Yes you can give it in half saline. 0.45 saline
Your videos are really helpful boss…
hope to get time to upload a video daily as i wait for whats coming next.. :)
So Nice of you Dr. Aishwarya Robbin 😊
This is such a useful lecture, Sir.
Thanks sir.. very nice video..
You are the first Indian man 😍🫡 I have ever listened to with great pleasure and happiness and your explanation is very beautiful may god bless you😍❤
Bio says he's from Pakistan
Again Superb Sir.,🙏🙏
Thx doc ! Can someone explain what it meant by over 1 hr then over 4 and 16 hrs ?
Have u took premium subscription for living ?
I hope u will help me and give me right direction
If 45 mins passed and patient ingested 15 maximum strenght of acetaminophen whatbis the PRIORITY antidote or gastric lavage ? I saw questions that have diferebt answers
15 yrs old and a Child ?
Nice
Sir pl need little help, you said in symptoms that metabolic acidosis develop due to hyperventilation, I don't get it!
I am very sorry. It was by mistake. Metabolic acidosis develops due to lactic acid buildup not by hyperventilation. Thank you for your response.
@@MedNerdDrWaqasFazal thanku sir, I'm preparing for part 2 exam fcps, your videos are v helpful!
Wish you all the best. May God ease everything for you. I am very glad to hear that. 😊
Sir yesterday i have mistakenly taken calpol 600 and algina 500 both 3 times a day sir what should i do would it affect me plzz reply sir i am too much scared about it
Gastric lavage 1st or the antidote? What is priority
Paracetamol poisoning is slow way to so iam trying it with alcohol. Hope my journey will be fast
It's not, and I'm speaking for first-hand experience.
Sir cotraindication of nacetylcystin plus when to strt methionin please
Nice video!
respected sir
Crystal clear explanation sir
Sir i have a question when do we start treatment with NAC ... do we wait for paracetamol levels.. or just start the treatment..???
Syed Ahsan If patient has ingested >150mg/kg of Paracetamol, then treatment depends on timing of presentation
1. if patients presents within < 1 Hour of ingestion : Give Activated Charcoal. then wait for 4 hours post ingestion and send paracetamol levels, if still elevated give NAC.
2. if patients presents within 1-3 Hours of ingestion : Activated charcoal has no role. Wait for 4 hours post ingestions and send paracetamol levels, if still elevated give NAC.
3. if patients presents within 4-8 Hours of ingestion : Don't Wait, take blood immediatly and check Paracetamol levels, if elevated Start NAC
4. if patients presents after 8 Hours of ingestion: Give NAC straightaway, after giving NAC send blood sample for paracetamol levels.
great ❤
Tqsm sir
Please help. Accidentally I gave 2ml paracetamol to my 10 months baby by mistake. Doctor prescribed 1.2 ml. Do I have to worry? Now its 2 and half hours and he looks normal and very active
Don’t worry….bt next time u should be more conscious….pcm is hepatotoxic when u consume it for long time with overdose….bt incase of child does is very important….so don’t do that again
Bt yes.if u intake large amount of pcm at a time …it can also damage your liver
How was your baby after taking overdose
@@hamshan97 It was just once. So no problem
Upload videos on intra mascular injection with complication
Sure Chetan I will. 😊
Thanks
I need a source about the paracetamol towards children
What is the difference between N acetyle cystien and Acetyle cystein please explain doctor
Good question
Thanks for the helpful video, pls what is the place of Measuring serum paracetamol level and the timing before the use of NAC?
If patient has ingested >150mg/kg of Paracetamol, then treatment depends on timing of presentation
1. if patients presents within < 1 Hour of ingestion : Give Activated Charcoal. then wait for 4 hours post ingestion and send paracetamol levels, if still elevated give NAC.
2. if patients presents within 1-3 Hours of ingestion : Activated charcoal has no role. Wait for 4 hours post ingestions and send paracetamol levels, if still elevated give NAC.
3. if patients presents within 4-8 Hours of ingestion : Don't Wait, take blood immediatly and check Paracetamol levels, if elevated Start NAC
4. if patients presents after 8 Hours of ingestion: Give NAC straightaway, after giving NAC send blood sample for paracetamol levels.
You are amazing ✨
Thank you Shivam 😊
Hi, my friend took 20 paracetamols and experienced extreme liver pain and vomiting/nausea etc. This was months ago and she has had no treatment. What do I do?
did she took that in 1 go
@animeraven976😂
I ate more than 30 tablets but nothing happen
I suffering with skin rash an swelling after using paracetamol. please suggest solution
👍👍👍
You did not discuss the graph
👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻
Sir what is the toxic paracetamol dose?
A. >150mg/kg/day
B. >200mg/kg/day
I'm a little bit confuse about this...
>150mg/kg/day
NAPQI sir its not NAPQ1.
لا خطأ الباراستمول مضر وفيه جرعة محددة له و هي اكبر من 150 ملي غرام لكل كيلو غرام للشخص البالغ
يعني اضرب الوزن في 150 تطلع الجرعة السامة من الباراسيتامول اللي تأثر على الشخص
و تسمم الباراسيتامول يؤدي الى تسمم الكبد وفشله، فمعلومتك خطأ أن الجرعة الزائدة غير مهمة ويا ريت ما تنشر معلومات طبية خطأ لمتابعينك خصوصا اغلبهم يعتمد على كلامك و ممكن يتألم وياخذ باراسيتامول اكثر من المطلوب ويفشل كبده ويموت
واصلا الجرعة التي لا يسمح بتجاوزها للبالغين هو اربعة غرام خلال 24 ساعة
و البنت اخذت ٦ خلال ساعة يعني تجاوزت الجرعة التي ينصح بها اصلا
انا طالبة طب و هذا الكومنت للفائدة، يا ريت تثبته حتى المتابعين يدرون اكيد انت ما كنت تدري بعد 🌱
I am dying from overdose and nobody cares🙂
nirob minar, I am sorry that you feel this way. You can share it with me.
@@MedNerdDrWaqasFazal I took 12 paracetamol of 500 mg yesterday and I vomited after one hour and then Somehow I managed to sleep after that waking up in the morning I realized that it will damage my liver and I will be a burden for everyone I told my sister and she told me drink tamarind juice to vomit and I drank that after 12-14 hours later of overdose and I vomited but nothing came out except that tamarind juice now 24 hour’s have passed but I am unable to visit doctor as I am a student of class 10.
I am having pain in my lower stomach.
If you can tell me any solution please help me I need help.
@@MedNerdDrWaqasFazal I have sent you a message on your page Sir please help me if you can
You may see your doctor. And tell your guardians about this situation. Your doctor may run a few tests to see if liver is doing fine.
@@MedNerdDrWaqasFazal Thank you for the suggestion sir. Assalamualaikum.