Abstract

The quality of lithium monitoring in a health district serving a population of 450 000 was studied over a period of a year. The following instances of poor monitoring were found: too frequent monitoring in stabilised patients, and failure to take action when lithium values fell below 0.3 mmol/l or rose above 1.0 mmol/l. Ways of improving the standard of monitoring are considered.

Highlights

  • The quality of lithium monitoring In a health district serving a population of 450 000 was studied over a period of a year

  • If any lithium value lay outside the BNF range (0.4-1.0 mmol/l), or if any Interval was six months or more, or less than one month, further information was sought from case notes and from family doctor records

  • General The mean value of the 2697 lithium estimates was 0.63 mmol/l; 213 (7.9%) fell below the BNF range, 64 (2.4%) fell in the range 1.1-1.4 mmol/l, and 14 (0.5%) were in the toxic range

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Summary

ORIGINAL PAPERS

L., et cd (1991) Risk of recurrence following discontinuation of lithium treatment In bipolar disorder.

An investigation into lithium monitoring
The study
Poor monitoring
Incidental findings

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