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Paracetamol overdose
My son was admitted in hospital due to vomiting and dehydration after eating outside food, but was accidentally given paracetamol overdose for fever. Should I go for a blood test again or what to do, please suggest.
Child age: 2.8 years
Weight: 12 kg
Dose taken: 800 mg paracetamol
Time since overdose: ~100+ hours
LFT done at 18 hours: normal
Current condition: active, eating, playing but cranky and getting angry frequently
Answers (8)
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If pt is asymptomatic nothing to be done, as baby is not taken the toxic dose range. If everyone in your family or you anxious means send serum paracetamol level.
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Repeat LFT
Observe the child
Nothing to worry as of now
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I need to ask few more questions before answering your query.
Early consultations can prevent complications.
Kindly contact me on whatsapp chat
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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Yes you need to repeat again LFT
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Please check medication before giving to the child. This time it may be normal but second chances are rare for drug overdose without side effects.
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Greetings kindly do repeat lft
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Vivek Goswami
Pediatrician
22 yrs exp
Noida
Usual toxic dose for paracetamol poisoning is >150mg/kg and half life of paracetamol is around 4hrs. Since he has taken around 65mg/kg and it’s been 100hrs and he is asymptomatic with normal liver enzymes, nothing active is to be done other than monitoring. You can repeat LFT and PT/PTTK to reconfirm that liver is not compromised
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.