Lithium Acute

Question 1

Lithium Acute: Risk Assessment

Answer 1

< 25 g benign few GI Sx

> 25 g severe GI & rare neuro sz

Question 2

Lithium Acute: Clinical

Answer 2

GI: N&V, Abdo pain, +/- significant diarrhoea
Large fluid losses may occur
Neuro: if delayed presentation & Renal impairment

Question 3

Lithium Acute: Ix

Answer 3

Levels:
confirm
monitor response
safety of medical d/c
4-8 hrs post ingestion avg > 5 mmol/L

Question 4

Lithium Acute: Mx

Answer 4

Priorities
Hydration:
-N/S resus AIM UO 1ml/kg/hr
monitor UEC renal fx, serum Li, Neurotox

Question 5

Lithium EE:

Answer 5

Haemodialysis if:
Late presentation & neuro Sx
Renal Failure

? WBI: controversial- supportive works well