Instructions
You are an intern in the psychiatry clinic. Imogen Vance, 29, has bipolar I disorder and is recovering from a manic episode. The psychiatrist has started lithium carbonate 750 mg at night and asked you to counsel her before she goes home on leave.
Take a focused history from Ms Vance
Counsel Ms Vance on lithium and agree a plan
- You do not need to examine the patient
Baseline tests
Creatinine 64; eGFR over 90; TSH 1.8; calcium normal; pregnancy test negative; ECG normal. First level due in 5 days.