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Acetaminophen Toxicity "150" Rule



Acetaminophen Toxicity  "Rule of 150":
  • The toxic ingestion dose of acetaminophen is 150 mg/kg.
  • The serum acetaminophen level when N-acetylcysteine treatment should be started is 150 mcg/mL (see Rumack Matthew nomogram)
  • The starting IV dose of N-acetylcysteine is 150 mg/kg over 15 minutes.   

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