A 20 years old lady presented to ED 26 hours after ingesting 30 tablets of paracetamol after a fight with her family. On presentation she was complaining of mild epigastric pain and vomited twice . Clinically , she is conscious and alert , Vitals signs : pr; 90 , bp: 120/80 , RR: 20 , spo2: 99% in r.a , afebrile , blood sugar 6 mmol/l . , Rest of exam is unremarkable ,ECG and blood gases are normal
Your junior treated the patient symptomatically and she feels much better and acetaminophen level is shown
Q1 How you will proceed with this patient?
Q2 Your junior want to discharge this patient , what do you think?
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