Acetaminophen Overdose and NAC Dosing
Calculates PO/IV NAC dosing for acetaminophen overdose, as well as a nomogram for determining toxic 4 hour ingestion levels.

PO
Loading dose is 140mg/kg PO, then 17 more doses every 4 hours of 70mg/kg PO. If patient vomits within 1 hour of dose, it must be repeated.IV
Patients >40 kg:- Loading Dose: 150 mg/kg in 200 mL of diluent administered over 60 min
- Dose 2: 50 mg/kg in 500 mL of diluent administered over 4 hr
- Dose 3: 100 mg/kg in 1000 mL of diluent administered over 16 hr
- Loading Dose: 150 mg/kg in 100 mL of diluent administered over 60 min
- Dose 2: 50 mg/kg in 250 mL of diluent administered over 4 hr
- Dose 3: 100 mg/kg in 500 mL of diluent administered over 16 hr
- Loading Dose: 150 mg/kg in 3 mL/kg of body weight of diluent administered over 60 min
- Dose 2: 50 mg/kg in 7 mL/kg of body weight of diluent administered over 4 hr
- Dose 3: 100 mg/kg in 14 mL/kg of body weight of diluent administered over 16 hr
Posted in: Gastrointestinal • Toxicology

