mdwannabe
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C. ,...
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| dimps
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methionine
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hi how r u
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| asmi
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Methionine
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| lucky
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D
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| mdwannabe
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i think Meth is converted to Cystine...so it should help. Unless I am screwing up the biochem???
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| Manal
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Ansewr is C.
Patients which present within 24 hours of suspected paracetamol overdose should receive gastric lavage, or emesis in a child, followed by activated CHARCOAL 50g.
If serious poisoning is suspected, or the patient is unconscious, it is advised to administer paracetamol antidote immediately and not await the 4 hour plasma levels.
Suitable antidotes are N-ACETYLCYSTEINE and METHIONINE.
Supportive treatment only is offered to patients who present more than 24 hours after ingestion. N-acetyl cysteine can still be given after this time with a positive effect.
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| mdwannabe
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Hey... I guess I did not screw up the biochem :-)
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"Life not lived for others, is not worth living" Uncle Einstein
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| dimps
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thanx for a good Q
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| asmi
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"mdwannabe" wrote:
Hey... I guess I did not screw up the biochem :-)
No u r not ,we are screwing up biochem :cry: :cry:
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| Anil Kumar980
Forum Senior
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Can u pls tell me if emesis is indicated in PCM poisoning.I heard that its not as once you do that you cant give NAC as it is given orally
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| mdwannabe
Forum Guru
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Ofcourse you can induce emeisis, if the duration of OD is minimal. That is if tablets are still in stomach. After those been dissolved...no point in vomitting. Rather give NAC, manage simptoms, draw labs etc.
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"Life not lived for others, is not worth living" Uncle Einstein
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| Anil Kumar980
Forum Senior
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Yes but in one of the Q bank ques ,the answer said that you dont induce vomiting as you almost always give NAC orally asap.
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| mdwannabe
Forum Guru
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right...just use common sense...if you give NAC then do not induce vomitus. However, if the time of arrival to ER is close to the time of ingestion of Tylenol, then vomitus is in order. Again it is common sense, if tablets are still pesent in stomach you better off getting them out before giving NAC.
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