What is the primary intervention for managing Lithium toxicity?

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The primary intervention for managing lithium toxicity involves keeping the patient hydrated. Hydration is crucial because lithium is primarily eliminated from the body through the kidneys, and adequate fluid intake enhances renal function to facilitate the excretion of lithium. When a patient is adequately hydrated, it helps to dilute the concentration of lithium in the bloodstream and promotes diuresis, which is vital in reducing toxicity levels.

In cases of lithium toxicity, hydration can significantly mitigate symptoms and prevent further complications. The importance of hydration cannot be overstated as dehydration can exacerbate lithium toxicity due to decreased renal clearance.

Other interventions, such as administering activated charcoal, might be considered in certain situations of overdose, but they are not the primary approach in the context of established lithium toxicity. Diuretics and electrolyte supplements do not directly address the core issue of eliminating excess lithium and can sometimes complicate the patient's condition depending on their overall clinical status. Thus, maintaining hydration is the most effective and immediate strategy in the management of lithium toxicity.

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