Toxicology
Lithium toxicity — HD threshold
EXTRIP-aligned indication for extracorporeal removal in lithium toxicity.
Required inputs
- Serum lithium (mEq/L)
- Acute / acute-on-chronic ingestion
- Significant CNS toxicity (seizures, ↓GCS, life-threatening dysrhythmia)
- Renal impairment (AKI / CKD limiting clearance)
- Unable to tolerate IV fluid resuscitation (e.g. heart failure)
Equation or source
Decker BS et al. EXTRIP workgroup. CJASN 2015;10:875-87.