Acetaminophen Acetaminophen overdose is often seen as part of a manipulative suicide gesture. Unfortunately, this medication can be lethal if a high enough dose is taken and too much time passes before treatment. There are few symptoms initially. However as toxic effects develop, there is worsening nausea, vomiting and right upper quadrant pain. As the liver fails, jaundice, hypoglycemia, clotting difficulties and hepatic encephalopathy occur.
Treatment includes lavage and charcoal.
Induce emesis if far from medical center. Blood level of Acetaminophen at four hours can predict chance of liver failure. Aspirin Often seen as part of a manipulative suicide gesture. Symptoms include sedation, drowsiness or excitement, tachycardia, urinary retention, constipation, and increased temperature. The patient may become delirious.