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Staggered intentional paracetamol overdose (Paracetamol overdose guidance flowcharts)

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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

See full SNAP protocol here: RHCG Paracetamol overdose guidance - 12-hr shortened N-acetylcysteine dosing schedule (SNAP protocol)

Unscheduled CAMHS referral flowchart

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