Intentional overdose patients are notorious for giving inaccurate histories. “I took 14 tablets of this and 8 capsules of that. No, wait. It was 3 tablets of this and a handful of capsules of that… This happened about 2 hours ago. Actually, I think it was last night.” Round and round the merry-go-round we go.
- How should we risk-assess whether acetaminophen is involved?
- If the patient provides no history of acetaminophen ingestion, do we need to order a level?