Friday October 21, 2005
Call for dialysis in Lithium overdose

Call for Hemodialysis in Lithium toxicity is "clinical" depending on symptoms particularly neurological symptoms such as myoclonus, seizure, confusion or coma. There is no laboratory cutoff value as patient with chronic exposure to lithium may show clinical signs at much lower value. Also some recent data favors CVVHD (or HD followed by CVVHD) as it showed to prevent rebound of lithium serum concentration.

See complete Toxicology manual.

References: click on link to get article:
1. To dialyse or not to dialyse… - pwr point presentation - S. Gosselin, MD
2. HD followed by continuous hemofiltration..: Am J Kidney Dis. 2001 May;37(5):1044-7