Next patient is matt rhodes r h o d e s 10400 7 0 18 year old man medications list sertraline 100 mg once a day past medical history iron deficiency anemia september 2025 self harm august 2025 mixed anxiety and depression february 2025 ascension deficit hyperactivity disorder 2024 pots and hypermobility 2023 autistic spectrum disorder 2016 self harm previous deliberate self harm investigations at 03:00 in the morning using his normal lfts normal paracetamol level 103 ck 54 urea 2.5 ast normal inr 1.1 full blood count of hemoglobin a 118 when previously a 121 with mild monocytosis note ferritin tested tenth september 20 25 and 16 micrograms per liter in september 25 by the gp so iron deficiency anemia is known about observations respiratory rate 17 on air saturation is 98% pulse 67 blood pressure 129 over 88 temperature 36.7 presenting complaint deliberate self harm and paracetamol overdose past history of presenting complaints drank 1 bottle of cider used a clean new unused blade to the left arm causing multiple superficial lacerations none requiring closure by the ed team no symptoms of paracetamol overdose took on the nineteenth of the tenth at 9pm took 6 500 mg / 8 mg cocodomol with suicidal intent and at 9pm on the twentieth of the tenth took 16 500 / 8 mg cocodomol with suicidal intent so it's a staggered overdose hi I'm your I've got the medical insurance service to see you following him just proceed to normal so a bit groggy yeah okay yeah 1 second and we've already got on your infusion why that sorry oh sorry long as usual I know this stuff is making sure your liver is safe so you need to be careful when we get this sorted can get you out of here you'll need some blood tests in a few hours' time then if they're all good we can get you out of here has anyone from the mental health team seen you yet I've seen what they wrote and things like that that I have to mhmm towards that that's absolutely fine yeah yeah alright do you know where the loo is he's got the whole thing okay I a mean yeah thing thing but I I think yeah so we've just just got got the right yeah I think that's 1 things and I think that's thing think that's a good so we're do it all now and I spoke to my gp this morning she's sending me sex and she's got some in breakfast she's doing radio that's why I'm doing the of course yeah sorry yeah yeah I'm that fine sorry I'm doing that greg when I talk to people about that I if you stop there with the underlying cause these shots if you're coming back to them again you're probably not to so be able that's something sick plan blood test in 4 hours with 2 hours left on a neck infusion full blood count using these lfts ast inr and venous blood gas if reassuring then can go home at the end of second nac infusion patient states has seen psych we would be grateful if the nursing staff could ensure this has happened thank you I'm gonna go ahead and close that I can't send them in no thank you