Lithium Alert Card Form
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People also ask
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How often do you need blood tests for lithium?
Regular blood tests are necessary to check lithium levels and to make sure you are taking the right dose. They will be checked weekly or fortnightly at first. Once levels of lithium in the blood are steady, they will be checked regularly (typically 3 monthly), usually 12 hours after the last dose.
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Why do I need a lithium alert card?
You'll be given a lithium alert card to keep with you at all times. In an emergency, this will let health professionals know you're taking lithium. Try to avoid a low-sodium (low-salt) diet as this can increase the levels of lithium in your blood and increase the chance of getting side effects.
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Where can I get a lithium alert card?
The pack consists of a patient information booklet, lithium alert card, and a record book for tracking serum-lithium concentration. Packs can be ordered from via tel:-0845 610 1112, online:- .nhsforms.co.uk (secondary care) or tel:- 0333 0142884, online:- pcse.england.nhs.uk/services/supplies/ (primary care).
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How frequently should I check my lithium levels?
Serum lithium levels should be checked between 4 to 7 days following initiation and the dose adjusted ingly. Serum levels should be repeated after every dose change and then every week until level has stabilised within the target range. Blood samples should be taken 12 hours after the previous dose of lithium.
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How often should you check your TSH on lithium?
Introduction: Blood test monitoring is essential for the management of lithium treatment and National Institute for Health and Care Excellence guidance recommends 6-monthly serum testing of thyroid function.
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Why do doctors not prescribe lithium anymore?
It has long been known that lithium has toxic effects on the thyroid gland and the kidneys. The thyroid toxicity, caused primarily by lithium's interference with thyroid hormones' release from the gland (19) affects up to 19% of treated patients (20).
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Why does lithium require routine monitoring?
When a patient is acutely manic, lower serum levels may be seen than when the patient is euthymic despite the same dose of lithium. If the lithium dose is increased to treat the acute episode, it is essential to monitor the patient for clinical signs of toxicity.
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What blood tests are needed for lithium?
Before starting lithium obtain baseline complete blood cell counts with differential (CBC with diff); urinalysis; blood urea nitrogen; creatinine; serum calcium levels; thyroid function tests; and pregnancy test for females of childbearing age. Monitor for lithium toxicity at every visit.
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