“…2 This nomogram is most applicable in patients who have acutely absorbed a single large dose of acetaminophen, rather than accumulation over several days, which can be equally as toxic. 3 Moreover, this nomogram does not account for potential interactions with other drugs the patient may have taken concurrently with acetaminophen. This patient's history of increased acetaminophen use over several days and concurrent use of carisoprodol made the use of the nomogram less useful, and may or may not have altered his ultimate outcome.…”