SAQ 968 – Toxicology – lithium toxicity in pregnancy

Marked out of 18.00

A 32-year-old patient with diabetes and bipolar disorder presents with disruptive behaviour.

She is disorientated and ataxic, and reports nausea and vomiting for the last two weeks. Her lithium level is 3 mmol/L.

Observation Value
Temperature 37.4 deg C
HR 110/min
BP 90/60 mmHg
RR 22/min
SaO2 97% on room air

List four potential precipitating factors you would consider that may have resulted in lithium toxicity.

(Marked out of 4.0)


/ 4

Urine beta-hCG confirms pregnancy and probable UTI. List four antibiotics used to treat UTI and discuss why you would or would not use them in pregnancy.

(Marked out of 4.0)


/ 4

Name three classes of drugs seen in overdose that are not bound by charcoal, giving two examples for each class.

(Marked out of 3.0)


/ 3

Name three toxicokinetic features of a drug that make enhanced elimination by haemodialysis appropriate or useful.

(Marked out of 3.0)


/ 3

List four drugs whose elimination is enhanced by haemodialysis.

(Marked out of 4.0)


/ 4

Total Score: 0 / 18

Percentage: 0%