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Lithium Monitoring

Description

If the patient is between 45 y and 75 y of age, diagnosed with any of the diseases with code icd9:2967, and taking any drugs with code atc:N05AN01, then consider the following:

• Recommendation: Lithium Monitoring Baseline: TSH, Calcium, CBC diff, electrolytes, BUN/SCr, ECG (if older than 45 or CVD) Follow-up: Q6mo: TSH, CBC diff, electrolytes, BUN/SCr, Lithium level: Q2yr: Calcium Q5yr: ECG (if older than 45 or CVD) Drug Levels (bipolar disorder): 5 days after starting then weekly for 2 weeks then every 6 months or when new drug initiated. See reference: http://www.google.com/url?sa=t&source=web&ct=res&cd=1&ved=0CAgQFjAA&url=http%3A%2F%2Fwww.canmat.org%2Fresources%2FPDF%2FBipolar_Guidelines_update_2006.pdf&ei=tyuqS5LgEYL-8AbviYG8Bw&usg=AFQjCNE5qb-S57MW4Cn-mTjv41PG8R-aog&sig2=o2CZRIZcB8DARHvgHfNtug

Evidence

IA

Significance

Moderate

Conditions

• Age -- All: 45 y - 75 y
• Dxcodes -- Any: icd9:2967
• Drugs -- Any: atc:N05AN01

Consequence

1. Warning
   Strength: Recommendation
   Text: Lithium monitoring baseline: tsh, calcium, cbc diff, electrolytes, bun/scr, ecg (if older than 45 or cvd) follow-up: q6mo: tsh, cbc diff, electrolytes, bun/scr, lithium level: q2yr: calcium q5yr: ecg (if older than 45 or cvd) drug levels (bipolar disorder): 5 days after starting then weekly for 2 weeks then every 6 months or when new drug initiated. see reference: http://www.google.com/url?sa=t&source=web&ct=res&cd=1&ved=0cagqfjaa&url=http%3a%2f%2fwww.canmat.org%2fresources%2fpdf%2fbipolar_guidelines_update_2006.pdf&ei=tyuqs5lgeyl-8abviyg8bw&usg=afqjcne5qb-s57mw4cn-mtjv41pg8r-aog&sig2=o2czrizcb8darhvghfntug

Other Versions

1. Lithium Monitoring

   (Updated: 2010-03-24 13:49:29 UTC)

2. Lithium Monitoring

   (Updated: 2010-03-24 14:25:07 UTC)

3. Lithium Monitoring

   (Updated: 2010-03-24 15:32:49 UTC)

4. Lithium Monitoring

   (Updated: 2010-03-24 15:50:19 UTC)