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- Paracetamol Overdose Treatment (N-Acetylcysteine infusion) calculator
Paracetamol Overdose Treatment (N-Acetylcysteine infusion) calculator
What's New
18/01/2023 See note below on fix needed to get the calculation sheet to work correctly when using the Edge browser.
Emergency Medicine
Abstract
18/01/2023 NHSGGC Microsoft Edge settings mean that pdfs open in Adobe Acrobat by default. This stops the calculation sheet linked to above from working. Read these instructions on how to change Edge settings before opening the guideline.
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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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
- 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
- Antibiotic management of Group A Streptococcus (GAS, Strep. pyogenes) infection in children
- Antibiotic management of suspected or confirmed invasive Group A Streptococcus (iGAS) infection in children
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