EM Cases · Lithium poisoning
Chronic lithium toxicity — resus station
ACEM Fellowship resus OSCE on isotonic saline, EXTRIP 1D decreased-consciousness, no charcoal, and 12-hour serial levels after extracorporeal treatment.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCEBEEM
Prompt
Elderly bipolar patient: ataxia, confusion, Li 2.9, rising creatinine after NSAID.
Station brief
Format. Clinical-management (resus) station, 11 minutes.
References3ShowHide
- [1]Decker BS, Goldfarb DS, Dargan PI, et al. Extracorporeal Treatment for Lithium Poisoning: Systematic Review and Recommendations From the EXTRIP Workgroup. Clinical Journal of the American Society of Nephrology, 2015.PMID 25583292
- [2]Baird-Gunning J, Lea-Henry T, Hoegberg LCG, et al. Lithium Poisoning. Journal of Intensive Care Medicine, 2017.PMID 27516079
- [3]Ragheb M. The clinical significance of lithium-nonsteroidal anti-inflammatory drug interactions. Journal of Clinical Psychopharmacology, 1990.PMID 2258452