Acute lithium intoxication.

Abstract:

:We present a case of acute lithium intoxication in a 51-year-old woman on chronic lithium therapy. Her serum lithium level was 10.6 mmol/l 13 hours after ingestion and 5.8 mmol/l at 24 hours. Dialysis therapy was not employed and she recovered well after fluid resuscitation. Serum lithium levels in chronic intoxication are more indicative of intracellular lithium concentration and therefore of clinical toxicity, as opposed to serum lithium levels in acute intoxication. Clinical features of toxicity are more important than a spot lithium level. A combination of clinical toxicity, the duration of exposure and a serial profile of serum lithium levels should guide dialytic therapy for removal of lithium.

journal_name

Anaesth Intensive Care

authors

Nagappan R,Parkin WG,Holdsworth SR

doi

10.1177/0310057X0203000118

keywords:

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

90-2

issue

1

eissn

0310-057X

issn

1448-0271

pii

2001156

journal_volume

30

pub_type

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