A true dialytic urgency: lithium intoxication

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1. Verfasser: Mariana Montoya-Castillo
Format: Artículo científico
Sprache:en
Veröffentlicht: Asociación Colombiana de Nefrología e Hipertensión Arterial 2018
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author Mariana Montoya-Castillo
author_facet Mariana Montoya-Castillo
contents A true dialytic urgency: lithium intoxication Mariana Montoya-Castillo Tomás Giraldo-Hinestroza Felipe Osorio Ospina Diana Carolina Echeverri Diaz Maria Antonia Rico-Mesa Carlos Aníbal Restrepo Juan Simon Rico-Mesa Medicina lithium Dialysis poisoning fatal outcome chronic kidney disease Lithium carbonate is a drug widely used in Colombia for the treatment of various psychiatric pathologies such as treatment in patients with bipolar affective disorder, however its narrow therapeutic index predisposes to the occurrence of acute poisoning, unlikely to happen but could be fatal.It should be said that its diagnosis requires a high rate of suspicion because it presents various clinical manifestations such as neuropsychia-tric symptoms and even mental disorders of an organic type that can be complicated by an acute kidney injury requiring emergency dialysis therapy.We report the case of a patient who presented to the emergency department with alteration in the state of consciousness in whom lithium poisoning was found and who required hemodialysis in an early stage.In conclusion, in a patient with risk factor and therapy with this drug is very important to guide appropriate treatment, and also discard differential diagnosis, in order to avoid fatal consequences. 2018 otro 2389-7708 https://www.redalyc.org/articulo.oa?id=560159564010 https://www.redalyc.org/journal/5601/560159564010/ https://www.redalyc.org/journal/5601/560159564010/html/ https://www.redalyc.org/journal/5601/560159564010/560159564010.epub https://www.redalyc.org/journal/5601/560159564010/movil 10.22265/acnef.0.0.310 en http://www.redalyc.org/revista.oa?id=5601 Revista Colombiana de Nefrología application/pdf Asociación Colombiana de Nefrología e Hipertensión Arterial Revista Colombiana de Nefrología (Colombia) Num.2 Vol.5
format Artículo científico
id redalyc_560159564010
institution Redalyc
language en
publishDate 2018
publisher Asociación Colombiana de Nefrología e Hipertensión Arterial
spellingShingle A true dialytic urgency: lithium intoxication
Mariana Montoya-Castillo
Medicina
lithium
Dialysis
poisoning
fatal outcome
chronic kidney disease
A true dialytic urgency: lithium intoxication Mariana Montoya-Castillo Tomás Giraldo-Hinestroza Felipe Osorio Ospina Diana Carolina Echeverri Diaz Maria Antonia Rico-Mesa Carlos Aníbal Restrepo Juan Simon Rico-Mesa Medicina lithium Dialysis poisoning fatal outcome chronic kidney disease Lithium carbonate is a drug widely used in Colombia for the treatment of various psychiatric pathologies such as treatment in patients with bipolar affective disorder, however its narrow therapeutic index predisposes to the occurrence of acute poisoning, unlikely to happen but could be fatal.It should be said that its diagnosis requires a high rate of suspicion because it presents various clinical manifestations such as neuropsychia-tric symptoms and even mental disorders of an organic type that can be complicated by an acute kidney injury requiring emergency dialysis therapy.We report the case of a patient who presented to the emergency department with alteration in the state of consciousness in whom lithium poisoning was found and who required hemodialysis in an early stage.In conclusion, in a patient with risk factor and therapy with this drug is very important to guide appropriate treatment, and also discard differential diagnosis, in order to avoid fatal consequences. 2018 otro 2389-7708 https://www.redalyc.org/articulo.oa?id=560159564010 https://www.redalyc.org/journal/5601/560159564010/ https://www.redalyc.org/journal/5601/560159564010/html/ https://www.redalyc.org/journal/5601/560159564010/560159564010.epub https://www.redalyc.org/journal/5601/560159564010/movil 10.22265/acnef.0.0.310 en http://www.redalyc.org/revista.oa?id=5601 Revista Colombiana de Nefrología application/pdf Asociación Colombiana de Nefrología e Hipertensión Arterial Revista Colombiana de Nefrología (Colombia) Num.2 Vol.5
title A true dialytic urgency: lithium intoxication
topic Medicina
lithium
Dialysis
poisoning
fatal outcome
chronic kidney disease
url https://www.redalyc.org/articulo.oa?id=560159564010
https://www.redalyc.org/journal/5601/560159564010/
https://www.redalyc.org/journal/5601/560159564010/html/
https://www.redalyc.org/journal/5601/560159564010/560159564010.epub
https://www.redalyc.org/journal/5601/560159564010/movil