A 37-year-old woman with bipolar disorder on lithium presents with nausea and tremor. U&Es: eGFR 55; lithium level 1.5 mmol/L (12 h post-dose). What s...

Question

A 37-year-old woman with bipolar disorder on lithium presents with nausea and tremor. U&Es: eGFR 55; lithium level 1.5 mmol/L (12 h post-dose). What should be done immediately?

Accepted Answer

Stop lithium; check U&Es, ECG, and consider IV fluids

Answer

Continue lithium and repeat level in 1 week

Answer

Reduce dose by half only

Answer

Start ACE inhibitor for renal protection

Answer

Give activated charcoal

mrcgp akt MCQ (SBA): Lithium toxicity

A 37-year-old woman with bipolar disorder on lithium presents with nausea and tremor. U&Es: eGFR 55; lithium level 1.5 mmol/L (12 h post-dose). What should be done immediately?