Lithium



Background

Toxicity


Management

Admit all with symptoms of toxicity or levels > 2mmol/l

Supportive management - A, B, C with correction fluid / electrolyte imbalance

Avoid charcoal

GI Tract decontamination unhelpful

Whole bowel irrigation MAY be useful (no evidence either way) if sustained release preparation ingested

Avoid forced diuresis

Haemodialysis (repeated to treat rebound post treatment levels) very effective

Haemodialysis indications (severe / life threatening overdose)



Content by - Dr Íomhar O' Sullivan. 12/01/2001. Reviewed by Dr ÍOS 08/02/2003, 10/04/2004, 18/05/2005, 13/05/2007. next review 13/05/2008