Paracetamol (Panadol)

Question 1

Indications

Answer 1

Mild to Moderate pain
- effective when used with other meds for longer relief and transportation
(AsFirst Responder- use this over ibuprofen )

Question 2

Contraindications / cautions

Answer 2

Known Severe Allergy
Severe Hepatics (liver infection)

Be cautious w severe liver disease, abdo pain, had in the last 4 hours .

It is safe in pregnancy!

Question 3

Dose/Route

Answer 3

Adults over 80kg - 1500mg (1.5g) or 3 tablets every 6 hours.

Adults under 80kg - 1000mg (1.0g) or 2 tablets every 6 hours.

Children under 40kg typically 1 tablet every 6hrs.

Children 30-40kg 250mg (0.5 tablet) every 6 hours

Children under 30kg- liquid. REFER to CPG for children dose

Question 4

Toxicity + lethal level (need to know)

Answer 4

Toxicity level - 150mg / kg body weight

Lethal level - 300mg / kg body weight

Question 5

Signs /Symptoms/ prognosis of paracetamol poisoning

Answer 5

S&S: Malaised palor, jaundice, anorexia, N&V, sweating

Prognosis- catastrophic liver failure in2-5 days

Therapy includes : Acetylcystine (hospital)