‘Hello, saya MO Asyraf dari ED, boleh saya bercakap dengan pharmacist incharge ? ‘Yes, Zahira speaking’, ‘Ok, great. I just nak confirmation, A 18 years old girl teen was admitted 4 hours ago, complaint of nausea and vomitting. Her mother claimed that she took 20 tablet of PCM with Coke on 6pm. Ok, so do I need to start NAC infusion? ‘Ok, so now it was 6 hours after the first ingestion right? Ok, you can start NAC infusion now and take PCM level blood serum. If PCM level is over nomogram treatment line, just complete treatment with IV NAC. Then repeat LFT ( Liver Function Test ), INR ( International Normalized Ratio ), Cr and venous vicarbonate . If PCM level is under nomogram treatment line, check first wether she have symptomatic or any abnormal test , if nothing, just discontinue NAC and discharge ‘Can you give me fully dose administration of NAC? ‘Ok, for loading dose, 150mg/kg in 200ml of D5 over 1 hour, then continue with maintenance dose 50mg/kg in 500ml of...