Artificial Lithium Toxicity: A Case Report and Review of the Literature
Lithium toxicity results in a range of gastrointestinal and neurologic signs and symptoms and can ultimately be fatal. Serum lithium levels may be unreliable when evaluating patients for toxicity, since levels may not be elevated in patients on chronic lithium therapy. Serum lithium levels may also...
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| Veröffentlicht in: | Journal of pharmacy practice 2015-10, Vol.28 (5), p.479-481 |
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| container_end_page | 481 |
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| container_issue | 5 |
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| container_title | Journal of pharmacy practice |
| container_volume | 28 |
| creator | Richman, Lisa S. Dzierba, Amy L. Connolly, Kathleen A. Bryan, Paula M. Chandra, Subani |
| description | Lithium toxicity results in a range of gastrointestinal and neurologic signs and symptoms and can ultimately be fatal. Serum lithium levels may be unreliable when evaluating patients for toxicity, since levels may not be elevated in patients on chronic lithium therapy. Serum lithium levels may also be artificially elevated if blood is collected in a tube containing lithium heparin. We present a case of a woman on chronic lithium therapy whose lithium level was artificially elevated due to blood collection in an incorrect tube. |
| doi_str_mv | 10.1177/0897190015587698 |
| format | Article |
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Serum lithium levels may be unreliable when evaluating patients for toxicity, since levels may not be elevated in patients on chronic lithium therapy. Serum lithium levels may also be artificially elevated if blood is collected in a tube containing lithium heparin. We present a case of a woman on chronic lithium therapy whose lithium level was artificially elevated due to blood collection in an incorrect tube.</description><identifier>ISSN: 0897-1900</identifier><identifier>EISSN: 1531-1937</identifier><identifier>DOI: 10.1177/0897190015587698</identifier><identifier>PMID: 26072429</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Blood Specimen Collection - standards ; Diagnostic Errors - prevention & control ; Female ; Humans ; Lithium Carbonate - blood ; Lithium Carbonate - therapeutic use ; Psychotic Disorders - blood ; Psychotic Disorders - diagnosis ; Psychotic Disorders - drug therapy</subject><ispartof>Journal of pharmacy practice, 2015-10, Vol.28 (5), p.479-481</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c205t-b10f038ec5194776c78e887cbdc15acc6b4456fb2ab43faa47813989fe28773c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0897190015587698$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0897190015587698$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26072429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Richman, Lisa S.</creatorcontrib><creatorcontrib>Dzierba, Amy L.</creatorcontrib><creatorcontrib>Connolly, Kathleen A.</creatorcontrib><creatorcontrib>Bryan, Paula M.</creatorcontrib><creatorcontrib>Chandra, Subani</creatorcontrib><title>Artificial Lithium Toxicity: A Case Report and Review of the Literature</title><title>Journal of pharmacy practice</title><addtitle>J Pharm Pract</addtitle><description>Lithium toxicity results in a range of gastrointestinal and neurologic signs and symptoms and can ultimately be fatal. Serum lithium levels may be unreliable when evaluating patients for toxicity, since levels may not be elevated in patients on chronic lithium therapy. Serum lithium levels may also be artificially elevated if blood is collected in a tube containing lithium heparin. We present a case of a woman on chronic lithium therapy whose lithium level was artificially elevated due to blood collection in an incorrect tube.</description><subject>Adult</subject><subject>Blood Specimen Collection - standards</subject><subject>Diagnostic Errors - prevention & control</subject><subject>Female</subject><subject>Humans</subject><subject>Lithium Carbonate - blood</subject><subject>Lithium Carbonate - therapeutic use</subject><subject>Psychotic Disorders - blood</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - drug therapy</subject><issn>0897-1900</issn><issn>1531-1937</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1j11LwzAUhoMork7vBUH2B6I5-ehJLsdwKhS8mdclyRLtWO1IW3D_3paqF4JXB877Pi88hFwDuwNAvGfaIBjGQCmNudEnJAMlgIIReEqyMaZjPiMXbbtjjIMU_JzMeM6QS24ycrNMXRUrX9n9oqi696qvF5vmc3h0x0tyFu2-DVffd05e1w-b1RMtXh6fV8uCes5URx2wyIQOXoGRiLlHHbRG77YelPU-d1KqPDpunRTRWokahNEmBq4RhRdzwqZdn5q2TSGWh1TVNh1LYOXoWf71HJDbCTn0rg7bX-BHbCjQqdDat1Dumj59DAr_D34Br6VYwQ</recordid><startdate>201510</startdate><enddate>201510</enddate><creator>Richman, Lisa S.</creator><creator>Dzierba, Amy L.</creator><creator>Connolly, Kathleen A.</creator><creator>Bryan, Paula M.</creator><creator>Chandra, Subani</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>201510</creationdate><title>Artificial Lithium Toxicity</title><author>Richman, Lisa S. ; Dzierba, Amy L. ; Connolly, Kathleen A. ; Bryan, Paula M. ; Chandra, Subani</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c205t-b10f038ec5194776c78e887cbdc15acc6b4456fb2ab43faa47813989fe28773c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Blood Specimen Collection - standards</topic><topic>Diagnostic Errors - prevention & control</topic><topic>Female</topic><topic>Humans</topic><topic>Lithium Carbonate - blood</topic><topic>Lithium Carbonate - therapeutic use</topic><topic>Psychotic Disorders - blood</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - drug therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Richman, Lisa S.</creatorcontrib><creatorcontrib>Dzierba, Amy L.</creatorcontrib><creatorcontrib>Connolly, Kathleen A.</creatorcontrib><creatorcontrib>Bryan, Paula M.</creatorcontrib><creatorcontrib>Chandra, Subani</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of pharmacy practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Richman, Lisa S.</au><au>Dzierba, Amy L.</au><au>Connolly, Kathleen A.</au><au>Bryan, Paula M.</au><au>Chandra, Subani</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Artificial Lithium Toxicity: A Case Report and Review of the Literature</atitle><jtitle>Journal of pharmacy practice</jtitle><addtitle>J Pharm Pract</addtitle><date>2015-10</date><risdate>2015</risdate><volume>28</volume><issue>5</issue><spage>479</spage><epage>481</epage><pages>479-481</pages><issn>0897-1900</issn><eissn>1531-1937</eissn><abstract>Lithium toxicity results in a range of gastrointestinal and neurologic signs and symptoms and can ultimately be fatal. 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| fulltext | fulltext |
| identifier | ISSN: 0897-1900 |
| ispartof | Journal of pharmacy practice, 2015-10, Vol.28 (5), p.479-481 |
| issn | 0897-1900 1531-1937 |
| language | eng |
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| source | MEDLINE; SAGE Complete |
| subjects | Adult Blood Specimen Collection - standards Diagnostic Errors - prevention & control Female Humans Lithium Carbonate - blood Lithium Carbonate - therapeutic use Psychotic Disorders - blood Psychotic Disorders - diagnosis Psychotic Disorders - drug therapy |
| title | Artificial Lithium Toxicity: A Case Report and Review of the Literature |
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