Question

A 35-year-old man with bipolar disorder is on lithium. He presents with coarse tremor, confusion, and ataxia. His lithium level is 2.0 mmol/L. What is the best immediate action?

Accepted Answer

Give IV fluids and consider stopping lithium temporarily

Answer

Increase lithium dose

Answer

Add a beta-blocker

Answer

Switch lithium to valproate immediately

Answer

No action required

Practice question

A 35-year-old man with bipolar disorder is on lithium. He presents with coarse tremor, confusion, and ataxia. His lithium level is 2.0 mmol/L. What is the best immediate action?