All patients with intentional self-poisoning with paracetamol should have a serum paracetamol performed, regardless of reported ingested dose.Cases that require different management include modified release paracetamol overdoses, large or massive overdoses, accidental liquid paracetamol ingestion in children and repeated supratherapeutic ingestions.The paracetamol nomogram should be used to assess the need for treatment in immediate release paracetamol ingestions with a known time of ingestion.
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