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Intravenous paracetamol:

True / False

Should be limited to a daily infusion maximum of 3 g in chronically malnourished patients Correct

Is formulated in a 50 ml vial for patients weighing less than 33 kg Incorrect answer selected

Is safer in accidental overdose than oral paracetamol Correct

Is formulated in the UK in a concentration of 1 mg/ml Correct

Should be administered over 15 minutes or longer Correct

Explanation

Intravenous paracetamol should be given by infusion over at least 15 minutes and the maximum adult daily dose of 4 g should be reduced in patients with chronic alcoholism, hepatocellular insufficiency and malnutrition.

It is formulated in a concentration of 10 mg/ml and smaller vials of 50 ml are recommended for patients <33 kg to reduce the risk of accidental overdose.

Intravenous paracetamol is potentially very toxic in overdose as standard oral treatment nomograms cannot be accurately applied.

The correct dose in infants <10 kg is 7.5 mg/kg with a maximum daily dose of 25 mg/kg. In children >10 kg and <33 kg, the IV dose is 15 mg/kg with a maximum daily dose of 60 mg/kg.

Reference:

Safe Anaesthesia Liaison Group. Intravenous Paracetamol.

Answer Statistics

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Average score: 81.97%

Times answered: 254