My wife accidentally swallowed 8 panadol extra....

paracetamol toxic dose is to ingest >4g in 8 hours

what is the treatment of paracetamol or adol over dose

1. If during the first hour after drinking, you should be present for emergency and lavage the stomach, except for hydrocarbons such as benzene or kerosene.only observation
2. If this thing happened in more than an hour, the emergency must be reviewed, but will not be a stomach lavage, but the observation of vital signs and its general condition 
3. and given the antidote N-acetyl cystine

what are the symptoms of paracetamol toxicity

1.  nausea, vomiting
2. , a pale appearance,
3. and sweating
4. jaundice
5. and right uper quadrant pain

what are the investigation used for monitor

1. abnormal liver function test
2. INR must be monitored