Convert any Lithium Level result between units on the unit converter.
What is the normal range for Lithium Level?
The standard teaching reference range for Lithium Level is 0.6–1.2 mEq/L in conventional units, or 0.6–1.2 mmol/L in SI units. This value is measured in serum (trough, 12 h post-dose).
A commonly taught critical (panic) value is > 1.5 mEq/L is toxic; > 2.0 is a medical emergency. Critical results are reported to the provider immediately under your facility's policy.
Source: Adult reference values compiled from Pagana & Pagana, Mosby's Diagnostic and Laboratory Test Reference, and Fischbach & Dunning, A Manual of Laboratory and Diagnostic Tests. Reference ranges vary by laboratory, method, age, sex, and population — always use the range printed on the actual result.
Above the range
Common causes of a high Lithium Level
Dehydration or sodium depletion
Renal impairment
NSAID or thiazide interaction
Overdose
Below the range
Common causes of a low Lithium Level
Subtherapeutic dosing
High sodium intake
At the bedside
Nursing considerations
Watch for tremor, GI upset, ataxia, and confusion as toxicity develops.
Maintain steady sodium and fluid intake — dehydration raises lithium.
Draw a true 12-hour trough before the morning dose.