Lithium Toxicity: Dialyze or Monitor these Patients?

Lithium toxicity is something we confront in the intensive care unit. (Hypothetical) Case scenario: Patient comes in, accidental overdose of lithium, HD stable, physical exam unremarkable, labs pristine, lithium level of 2.x. Poison control called. ED interventions performed flawlessly. Nephro consulted in the ED and recommends HD if level is above (insert arbitrary number here). …

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