system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 22-year-old female with a history of bipolar disease presents to the emergency room following an attempted suicide. She reports that she swallowed a bottle of pain reliever pills she found in the medicine cabinet five hours ago. She currently reports malaise, nausea, and anorexia. She has vomited several times. Her history is also notable for alcohol abuse. Her temperature is 99.4°F (37.4°C), blood pressure is 140/90 mmHg, pulse is 90/min, and respirations are 20/min. Physical examination reveals a pale, diaphoretic female in distress with mild right upper quadrant tenderness to palpation. Liver function tests and coagulation studies are shown below:

Serum:
Alkaline phosphatase: 110 U/L
Aspartate aminotransferase (AST, GOT): 612 U/L
Alanine aminotransferase (ALT, GPT): 557 U/L
Bilirubin, Total: 2.7 mg/dl
Bilirubin, Direct: 1.5 mg/dl

Prothrombin time: 21.7 seconds
Partial thromboplastin time (activated): 31 seconds
International normalized ratio: 2.0

Serum and urine drug levels are pending. Which of the following medications should be administered to this patient?
assistant
N-acetylcysteine