- Sertraline 100mg daily
- Amlodipine 5mg daily
- Lorazepam 1mg as needed for anxiety
- Zolpidem 10mg at bedtime for insomnia
Upon arrival, the patient was found to be drowsy but responsive. Her vital signs were stable, with a blood pressure of 130/80 mmHg, heart rate of 72 beats per minute, respiratory rate of 16 breaths per minute, and oxygen saturation of 98% on room air. Initial laboratory tests showed a serum acetaminophen level of 20 mcg/mL, within the therapeutic range.
The patient was started on intravenous N-acetylcysteine for acetaminophen overdose and admitted to the medical-surgical unit for further monitoring and management. The psychiatric team was consulted for evaluation and management of the underlying depression and anxiety.
Throughout her hospital stay, the patient remained stable and cooperative with treatment. She was discharged after three days with close follow-up with her primary care physician and psychiatrist. The patient was educated on the importance of medication compliance and the risks of overdose.