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Paracetamol Overdose Treatment (N-Acetylcysteine infusion) calculator
What's New
Emergency Medicine
Abstract
NOTE: This calculator must be accessed from a desktop device to allow it to be printed off and signed
Guidance on making up:
- infusion ONE (over ONE hour)
- infusion TWO (over FOUR hours)
- infusion THREE (over SIXTEEN hours) – please use guidance found at the following link: https://www.rcem.ac.uk/RCEM/Quality-Policy/Clinical_Standards_Guidance/RCEM_Guidance.aspx?WebsiteKey=b3d6bb2a-abba-44ed-b758-467776a958cd&hkey=862bd964-0363-4f7f-bdab-89e4a68c9de4&RCEM_Guidance=6
Editorial Information
Last reviewed: 11 March 2021
Next review: 31 March 2023
Author(s): Dr Saqib Hasan (Consultant in Paediatric Emergency Medicine, RHCG) & Mr Stephen Bowhay (Lead Clinical Pharmacist, RHCG)
Version: 5
Approved By: Mr Stephen Bowhay (Lead Clinical Pharmacist, RHCG)
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NHSGGC Guidelines
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Emergency Medicine
- Acute asthma in children aged < 2 years in the Emergency Department (management of)
- Acute otitis externa in children, Emergency Department
- Acute pain relief services protocol (APRS)
- Acute replacement of gastrostomy tubes (Emergency Department SOP)
- Acute Sore Throat
- Acute wheeze in children 2 years and older: assessment and management
- Acute wheeze: escalation to intravenous therapy for Acute Wheeze Integrated Care Pathway (ICP) for patients over 2 years old
- Adrenal insufficiency in children, emergency management protocol
- Adrenal suppression secondary to exogenous glucocorticoid - guidance for children on long term steroid therapy
- Adrenaline auto injector prescription guideline
- Guideline for Emergency Departments, Minor Injury Units and Receiving Units where a child or young person presents under the influence of alcohol and/or drugs
- Antibiotic prophylaxis for paediatric surgery
- Aspiration of a foreign body
- Atraumatic painful limb
- Bell's Palsy
- Bomb blast injuries in children: antibiotic management
- Brief Resolved Unexplained Event or BRUE (ALTE guideline update)
- Bronchiolitis parent information leaflet
- Buckle fracture
- Burn, looking after your child's (ED parent advice sheet)
- Burns – admission & follow up guidance
- Burns, airway and smoke inhalation in children
- Child protection bundle: Emergency Department & Minor Injury Unit (adult & children)
- Child Protection pathways where concern for neglect or abuse - RHC ED
- Child Protection Policies & Procedures [Staffnet]
- Child sexual exploitation, recognition and response: guidance for health staff
- Clinical operation policy for ALL CT imaging requests from the Emergency Department Royal Hospital for Children, Glasgow
- Community Nursing Teams - Scotland, contact numbers
- Conjunctivitis: management in children
- Constipation in children
- Croup
- Decreased consciousness level in children: management of
- Diabetes mellitus, management during surgery
- Diabetes, newly diagnosed: “walking wounded”
- Diabetic ketoacidosis including fluid calculation sheet
- Digital camera policy: ED & SSW
- Discarded needles, managing injuries from needles discarded in the community
- Domestic abuse, identifying and responding to within NHSGGC Children's Services
- ED triage to CDU - direct transfer criteria
- Emergency blood management arrangements, NHSGGC policy
- Emergency contraception
- Empirical antibiotic therapy in children
- Epistaxis management in children
- Epstein-Barr virus (EBV) guidance
- Escalation policy to maintain safety - RHC Standard Operating Procedure
- Febrile convulsion parent information leaflet
- Febrile neutropenia, out of hours pathway for RHC
- Feverish Illness in Children (< 5 years) Paediatric Emergency Department, RHC
- First afebrile seizure, management
- Acute Gastroenteritis Management in Paediatric Emergency Medicine
- Guidance for patients with suspected plague (Yersinia pestis infection): RHC ED
- Guideline for contacting the ED consultant on call between Midnight and 9am
- Haematuria, management and investigation in Paediatrics
- Haemophilia protocol
- Hand and finger fractures
- Head injury / concussion advice leaflet for parents/guardians
- Head injury guideline (Emergency Department)
- Headaches in children
- Henoch-Schonlein Purpura (HSP) – ‘New’ patient follow-up SOP
- How to complete a notification of concern form (ED SOP)
- Hypercyanotic episodes in tetralogy of fallot
- Hypoglycaemia management, Paediatric Emergency Department
- Incidental murmur
- Ingested foreign bodies, Emergency Department
- Management of inter-hospital transfers by RHC Emergency Department
- Intoxicated child/adolescent flow chart
- Intravenous fluid guidance for previously well children aged >7 days to 16 years
- Jehovah's Witness management, paediatric patients
- Juvenile idiopathic arthritis (JIA), management in children
- Laboratory Chain of Evidence form & notes for use in the ED
- Initial diagnosis of Macrophage Activation Syndrome
- Major haemorrhage protocol
- Malaria treatment guidelines, paediatrics
- Maltreatment in children under the age of 1 year, recognition and management
- Maltreatment in children under the age of 1: injury proforma [Staffnet]
- Acutely disturbed or challenging behaviour in children with learning disabilities & / or ASD (aged 5-18 years)
- Medical Acute Receiving Unit Guide for Hi-Flo (AIRVO) Use in Bronchiolitis
- MERS - Middle East Respiratory Syndrome - RHC ED patient pathway guidance
- Moving and handling the child with suspected/diagnosed spinal injury: application of Miami-Jr and Miami J collar, Standard Operating Procedure
- Moving and handling the child with suspected/diagnosed spinal injury: log rolling, Standard Operating Procedure
- Paracetamol Overdose Treatment (N-Acetylcysteine infusion) calculator
- Nasal injuries
- Nasal injury advice sheet (parent information)
- Needlestick injuries and exposure to blood and high risk body fluids: initial action plan
- New psychoactive substances (NPS): Emergency Department guidance
- Next Day Surgical Procedures (fasting guidance) – parent information leaflet
- Management of the Child with a Non-Blanching Rash (NBR): (i.e. Petechiae, Purpura & Ecchymoses)
- Notification of diseases to Public Health
- Omalizumab: difficult asthma advice note
- Orbital cellulitis protocol, ENT department
- Paediatric neck lumps (diagnosis and management)
- Pain in children, management in the ED
- Pneumonia, community acquired: guideline in children
- Poisoning & overdose - requesting information
- Pregnancy testing guidelines for girls aged 12 yrs & over (RHC)
- Procedure for notification of child deaths [Staffnet]
- Pulled elbow
- Rabies risk assessment and treatment following bat exposure
- Radiological imaging transfer / viewing guidance
- Rapid access (unscheduled) outpatient clinic: guidelines for referral
- Rapid sequence induction of anaesthesia for intubation: checklist
- Rapid sequence induction of anaesthesia for intubation: intubation drugs
- Referral Criteria for Paediatric Continence Service
- Referral Pathway for Paediatric Continence Service
- RHC ED debriefing proforma
- Glasgow Emergency Paediatric ECG Guideline (GEPEG)
- Sexually active young people, managing
- Surgical and Urological Advice for RHCG ED
- Tetanus vaccination in Children
- Tissue adhesives (management of accidental injury)
- Torticollis (congenital and acquired) in children
- Tranexamic acid in paediatric surgery and trauma
- Trauma team roles and responsibilities
- Unidentified Foods/Vegetables/Plants and Fungi etc
- Unplanned return patient checklist, ED RHC
- Upper limb injuries: assessment of neurological status
- Urticaria not associated with anaphylaxis: management in children
- Viral Haemorrhagic Fever (VHF) patient pathway 2021 (Paediatric ED)
- Rapid tranquilisation of young people aged 12-17 years, algorithm
- Management of acutely disturbed or challenging behaviour in children aged 5-12 years
- Covid-19 patient pathway 2020 – RHCG clinical policy
- Antidote locations for RHCG
- RHCG Fracture Management Guidance
- RHC Fracture Clinic Pathway & how to arrange follow up (Ortho & Physiotherapy)
- Virtual Fracture Clinic – Parent information leaflet
- Cardiac transplant patient - paediatric acute care management pathway
- Covid-19 swab transit - RHC Standard Operating Procedure
- Emergency paediatric tracheostomy management
- Urinary tract infection (UTI) : Diagnosis, treatment and management - RHC Glasgow
- Sudden unexpected death in infancy and childhood: Multi-agency guidelines for care and investigation
- Guidance for families and children who have attended the Emergency Department with symptoms of coronavirus (COVID-19)
- Bronchiolitis admission pathway
- Paediatric Transfer Traffic Light : risk assessment
- Acute neonatal referral pathways
- RHCG Major Trauma Team Emergency Department Activation and Response - Standard Operating Procedure
- Fever in the returning paediatric traveller
- Paediatric Transfer Documentation – GG&C
- Proteinuria on urinalysis in the Emergency Department
- Major Incident Plan, RHC
- Paediatric General Surgery - Processes in ED
- Referral Pathways for Head Injury Patients from Emergency Departments to RHC
- Referral to Paediatric Major Trauma Centres in Scotland
- Major Trauma Single Point of Contact (SPOC) SOP – RHCG
- Paediatric Procedural Sedation with IV Ketamine SOP – RHCG ED
- Ketamine sedation: information leaflet for parents and caregivers
- IV Ketamine Paediatric Sedation Proforma
- Call out of cardiac theatre and perfusion team for advanced trauma call
- Tertiary Survey Proforma for trauma – RHCG
- Suspected vascular injury clinical care pathway
- Critical Care Adolescent Patient Pathway
- RHC ED, CDU & Outpatient pathway for Infants with suspected Non IgE Cows milk protein allergy (CMPA)
- Fracture manipulation management for RHC ED
- Status Epilepticus Management
- Management of monkeypox, RHC Glasgow
- Major Paediatric Trauma - Imaging Flowchart
- Unscheduled CAMHS referral flowchart
- Varicella zoster infection (chickenpox): management in children
- MRI Imaging Out of Hours: Acute Spinal Trauma, RHCG
- Management of atopic eczema in children
- Endocrinology
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