A 45ym known with MDP
, on Lithium ,
He took an unknown amount of Lithium to commit suicide .
The following is/are true or false regarding Lithium toxicity :
1-Both hypothyroidism and hyperthyroidism, as well as calcium disturbances secondary to hyperparathyroidism, have been reported with lithium poisoning.
True
2-Flattened T waves, prolonged QTc intervals, and bradycardia are common.
False,
Are rare
3-Phenobarbitone is the first line therapy for seizures.
False.
Benzodiazepine
4-Patients with acute lithium toxicity are at risk for developing nephrogenic diabetes insipidus (NDI)
False
with chronic toxicity
5-Whole bowel irrigation with polyethylene glycol (PEG) solution are not effective in patients with large acute ingestions .
False
Effective
6-Serum lithium concentrations correlate more closely with clinical signs in patients with chronic toxicity
True
For chronic toxicity
7-The syndrome of irreversible lithium effectuated neurotoxicity (SILENT) consists of prolonged neurologic and neuropsychiatric symptoms following lithium toxicity.
True,
Fact
8-Lithium poisoning is associated with elevations in cardiac biomarkers and left ventricular dysfunction.
False
Is not
9-Severe lithium intoxication can cause nonconvulsive status epilepticus, and encephalopathy.
True
