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Lithium dehydration — GPhC CRA MCQ

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EasyCNS TherapeuticsLithium dehydrationGPhC CRA

A patient taking lithium asks for loperamide after vomiting and diarrhoea for 24 hours. They feel shaky and have reduced fluid intake. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DAdvise urgent medical review and lithium level assessment

Dehydration can precipitate lithium toxicity and symptoms such as tremor are concerning. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS