Publication details

Akutní intoxikace lithiem u geriatrické pacientky

Title in English Urgent lithium intoxication in geriatric patient
Authors

ŠTEFINOVÁ Zuzana MATĚJOVSKÁ KUBEŠOVÁ Hana

Year of publication 2018
Type Article in Periodical
Magazine / Source Geriatrie a gerontologie
MU Faculty or unit

Faculty of Medicine

Citation
Keywords lithium; intoxication; geriatric patient
Description Urgent lithium intoxication in geriatric patient is relatively uncommon in clinical practice, however as the following case report shows, we must keep it in mind. Lithium is a medicine used primarily for psychiatric indications. It is used as a prophylaxis for bipolar affective disorder, schizoaffective disorder, and some sexual deviations. It is exclusively excreted by the kidneys. Prolonged half-life of elimination is observed in infants, the elderly and patients with renal insufficiency. Increased caution and careful monitoring of lithium levels is necessary in patients with mild or advanced disorder of renal impairment. Signs of intoxication are manifested in the gastrointestinal system, the nervous system, and changes to the ECG.
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