title: Hemodialysis for lithium intoxication: preliminary guidelines for emergency.
abstract: In Japan, 9 cases of severe lithium intoxication have been treated by hemodialysis so far, and the usefulness and indications of this procedure are not yet understood fully. We have recently experienced a case of lithium intoxication treated by hemodialysis. Considering this case together with those reported previously, we have prepared some preliminary guidelines for the application of hemodialysis to patients with lithium intoxication. The blood concentration of lithium, renal function, the severity of consciousness disturbance and clinical symptoms such as somatic complications are, of course, important indices for the application of this therapy. We think that the signs of intoxication and the time interval between the onset and the beginning of treatment also serve as useful indices for application of hemodialysis.
authors.affiliation: Department of Psychiatry, Jikei University School of Medicine, Kashiwa Hospital, Chiba, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Kasahara
authors.forename: T
authors.initials: T
authors.lastname: Shinozaki
authors.forename: K
authors.initials: K
authors.lastname: Nukariya
authors.forename: H
authors.initials: H
authors.lastname: Nishimura
authors.forename: H
authors.initials: H
authors.lastname: Nakano
authors.forename: T
authors.initials: T
authors.lastname: Nakagawa
authors.forename: S
authors.initials: S
authors.lastname: Ushijima
mesh_terms: D000293:Adolescent; D001883:Borderline Personality Disorder / Q000097:blood / Q000188:drug therapy* / Q000523:psychology; D062787:Drug Overdose / Q000097:blood / Q000628:therapy*; D004359:Drug Therapy, Combination; D004630:Emergencies; D005260:Female; D006801:Humans; D016651:Lithium Carbonate / Q000008:administration & dosage / Q000493:pharmacokinetics / Q000506:poisoning*; D008657:Metabolic Clearance Rate; D006435:Renal Dialysis; D013406:Suicide, Attempted / Q000523:psychology
chemical_list: D016651:Lithium Carbonate