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Lithium Monitoring

Posted Wednesday 24 March 2010 - 13:44 PM by David Chan

Evidence

IA

Significance

moderate

Conditions

Consequence

  1. Warning
    Strength: Recommendation
    Text: Lithium monitoring: baseline tsh, calcium, cbc diff, electrolytes, bun/scr, ecg (if older than 45 or cvd); follow-up q6mo tsh, cbc diff, electrolytes, bun/scr;; lithium level q2yr calcium, q5yr ecg (if older than 45 or cvd);; drug levels (bipolar disorder): 5 days after starting then weekly for 2 weeks then every 6 months or when new drug initiated.

<guideline title="Lithium Monitoring" evidence="IA" significance="moderate"> <conditions> <condition type="age" all="45 y - 75 y"/> <condition type="dxcodes" any="icd9:2967"/> <condition type="drugs" any="atc:N05AN01"/> </conditions> <consequence> <warning strength="recommendation">Lithium Monitoring: Baseline TSH, Calcium, CBC diff, electrolytes, BUN/SCr, ECG (if older than 45 or CVD); Follow-up Q6mo TSH, CBC diff, electrolytes, BUN/SCr;; Lithium level Q2yr Calcium, Q5yr ECG (if older than 45 or CVD);; Drug Levels (bipolar disorder): 5 days after starting then weekly for 2 weeks then every 6 months or when new drug initiated. </warning> </consequence> </guideline>

Other Versions

  1. Lithium Monitoring
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  4. Lithium Monitoring

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