Question

A patient on lithium therapy for bipolar disorder presents with tremor and confusion. Lithium level is 1.8 mmol/L. According to the BNF, which is the next step?

Accepted Answer

Stop lithium and check renal function, thyroid function, and electrolytes urgently

Answer

Continue the same dose and review in a week

Answer

Give IV sodium bicarbonate infusion

Answer

Switch to carbamazepine immediately

Answer

Add a beta-blocker for tremor

Practice question

A patient on lithium therapy for bipolar disorder presents with tremor and confusion. Lithium level is 1.8 mmol/L. According to the BNF, which is the next step?