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A 25-year-old woman, 50 kg, presents with nausea, vomiting and abdominal pai...

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A 25-year-old woman, 50 kg, presents with nausea, vomiting and

abdominal pain for the last few hours. She has dental pain and has been taking 1g paracetamol orally every 4 hours for the last 3 days. 

On examination of her abdomen, you note it is soft, mildly tender in right upper quadrant. Paracetamol level is 35 mg/L, ALT 800 IU/L. HR 90 bpm, BP 100/70 mm Hg, temp 37.4°C.  

Nomogram

What is the most appropriate treatment for this patient?

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