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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.

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.

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 15:13:45 UTC)

4. Lithium Monitoring

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