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Laboratory Medicine

Test Directory / Lithium

Lithium

Brown clotted serum or gel barrier

TestLithium
Common AbbreviationsLi, LIT
ProfileUrea and Electrolytes co-requested in all cases
Tube typeBrown clotted serum or gel barrier
Clinical IndicationUsed in the treatment of manic depressive psychosis and for prophylaxis in bipolar affective disorder. Serum measurements are made mainly to ensure compliance and avoid toxicity.
Specimen TypeBlood
Sample typeSerum or plasma
Minimum Volume0.5mL If requesting more than 10 tests please send an additional brown clotted serum sample.
Special PrecautionsPeak levels occur 2-4 hours after an oral dose. It is recommended that a standardised 12 hour post dose serum lithium concentration should be used to assess adequate therapy. Lithium Heparin tubes MUST NOT be used
Stability1 day at 20-25C and 7 days at 2-8C or greater than a year at -20°C.
Turnaround TimeInpatient: 6 hours Outpatient/ GP: 24 hours
LaboratoryYork and Scarborough
Reference IntervalTherapeutic Range: 0.4 – 1.0mmol/L
Limitations
Notes
Looking down a long bright hospital corridor with treatment rooms on the left and windows on the right. At the bottom of the corridor is one member of staff in a blue nursing uniform

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Incident at York Hospital

Please be aware that the internal access road to the Blue Badge car park at the front of York Hospital is temporarily closed following a road traffic incident. As a result, drop-off and collection at the main entrance, along with access to Blue Badge parking in that area, is currently unavailable. Pedestrian access is unaffected.

Access to all other areas of the hospital site remains open, including the multi-storey car park, where disabled parking is available.

We’re asking patients and visitors to plan ahead, as traffic flow into the site is busier than usual. Thank you for your patience and understanding.