ABSTRACT
Question 2 A 38-year-old woman who has been on lithium for the past 10 years is brought to the ED by her concerned husband. She is normally well controlled on this medication but has had a recent episode of diarrhoea and vomiting. She has a tremor, increased urinary frequency and poor concentration. In suspected lithium toxicity, which one of the following is correct? 1. Check U&Es and TFTs only if the patient has late signs of toxicity. 2. Encourage intake of oral fluids. 3. Reduce medication dose and reassure patient. 4. Stop the drug, get IV access and start a saline drip. 5. Tremor, urinary frequency and poor concentration are late signs of
toxicity.
