Question 37 · LEK · Emergencies in psychiatric treatment
Indicate the true sentences regarding lithium intoxication:
1) charcoal binds to lithium and therefore activated charcoal is indicated in the case of lithium intoxication;
2) gastric lavage in the case of lithium intoxication is indicated if the patient presents within one hour of the ingestion;
3) the character of kidney failure in the case of lithium intoxication is only renal;
4) lithium is absorbed and eliminated fast from tissues;
5) forced diuresis with urine alkalization allows lithium elimination
The correct answer is:
2) gastric lavage in the case of lithium intoxication is indicated if the patient presents within one hour of the ingestion;
3) the character of kidney failure in the case of lithium intoxication is only renal;
4) lithium is absorbed and eliminated fast from tissues;
5) forced diuresis with urine alkalization allows lithium elimination
The correct answer is:
- A. 1,2.
- B. 1,3.
- C. 2,3.
- D. 4,5.
- E. 2,5.
Hint
Lithium is a small ion; consider whether charcoal can bind it, how it distributes into tissues and what drives renal injury.
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