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An investigation into lithium monitoring

Shelton Hospital, Shrewsbury, SY3 8DN

M. J. Hallworth, Consultant Biochemist

Royal Shrewsbury Hospital, Shrewsbury SY3 8DN

^* Correspondence

The quality of lithium monitoring in a health district serving a population of 450 000 was studied over a period of a year. The following instances of poor monitoring were found: too frequent monitoring in stabilised patients, and failure to take action when lithium values fell below 0.3 mmol/l or rose above 1.0 mmol/l. Ways of Improving the standard of monitoring are considered.