Lithium Flashcards
1
Q
What are the risk factors for lithium toxicity?
A
Hyponatraemia
Dehydration
NSAIDs
Diuretics
2
Q
What are the SSx of lithium toxicity?
A
Coarse tremor Blurred vision Confusion Nausea + Vomiting Muscle weakness Ataxia Slurred speech ECG changes - bundle branch block, T wave inversion
3
Q
What should you do in lithium toxicity?
A
Stop lithium immediately
Check: lithium levels, serum creatinine, serum U + E
Refer to A & E
Seek advice from psychiatry on when/how to restart lithium
4
Q
What electrolyte imbalance is a risk factor for lithium toxicity?
A
Hyponatraemia
5
Q
Lithium toxicity can cause what sort of electrolyte imbalance?
A
Hypercalcaemia