A 40-year-old man with Bipolar Affective Disorder is maintained on Lithium carbonate. He attends for routine monitoring. Which blood test result would...

Question

A 40-year-old man with Bipolar Affective Disorder is maintained on Lithium carbonate. He attends for routine monitoring. Which blood test result would necessitate urgent review and potential dose reduction or cessation of Lithium?

Accepted Answer

eGFR 50 mL/min/1.73m² (Baseline 80)

Answer

TSH 6.5 mU/L (0.4-4.0)

Answer

Calcium 2.55 mmol/L (2.2-2.6)

Answer

Lithium level 0.7 mmol/L (Target 0.6-0.8)

Answer

Haemoglobin 135 g/L

ukmla MCQ (SBA): Lithium Monitoring

A 40-year-old man with Bipolar Affective Disorder is maintained on Lithium carbonate. He attends for routine monitoring. Which blood test result would necessitate urgent review and potential dose reduction or cessation of Lithium?