See full SNAP protocol here: RHCG Paracetamol overdose guidance - 12-hr shortened N-acetylcysteine dosing schedule (SNAP protocol)
Intentional paracetamol overdose in a single time period (Paracetamol overdose guidance flowcharts)
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Presenting 0-8 hours from ingestion
| PDF version for printing.Please ensure you have selected to print on both sides before printing out the correct treatment flowchart and ensure it is kept in the patient's clinical notes |
Unscheduled CAMHS referral flowchart
Presenting 8-24 hours from ingestion
| PDF version for printing.Please ensure you have selected to print on both sides before printing out the correct treatment flowchart and ensure it is kept in the patient's clinical notes |
Unscheduled CAMHS referral flowchart
Presenting over 24 hours from ingestion
| PDF version for printing.Please ensure you have selected to print on both sides before printing out the correct treatment flowchart and ensure it is kept in the patient's clinical notes |
Unscheduled CAMHS referral flowchart
Editorial Information
Last reviewed: 23 May 2023
Next review: 31 May 2026
Author(s): Dr Steve Foster, Consultant in Paediatric Emergency Medicine, RHC ED (correspondence author); Dr Fiona Hillis, Consultant in Paediatric General Medicine, RHC; ANP Susan O'Hara, Advanced Nurse Practitioner, Acute paediatric medicine, RHC; Ms Caitlin Fyfe, Pharmacist, QEUH; Ms Susan Kafka, Specialist Pharmacist, RHC.
Co-Author(s): This guideline is based on the NHSGGC Adult Paracetamol Overdose Protocol and Shortened N-acetylcysteine (NAC) Administration Chart. We have adapted it for use in paediatric patients within GG&C with permission of the original authorship group: Dr Colin Muir, Dr Andrea Llano, Consultant Physician, GRI & Prof Gerard McKay, Consultant Physician, GRI.
Approved By: Drugs and Therapeutics Committee (DTC), RHC; RHC ED Clinical Governance Group; Acute paediatrics Clinical Governance Group, RHC