How is lithium toxicity primarily managed?

The primary management of lithium toxicity focuses on supportive care, which is essential in addressing the physiological disruptions that can arise due to elevated lithium levels. Administering intravenous fluids is a critical component of this supportive care because it helps to hydrate the patient, promote renal clearance of lithium, and prevent dehydration. Maintaining proper fluid balance is crucial, as lithium can cause renal impairment and increase the risk of further complications.

While other treatments might be considered in specific circumstances, such as using an antidote for certain types of poisoning, no specific antidote exists for lithium toxicity. Surgery is not a standard intervention for lithium toxicity, as it does not address the underlying issue of lithium accumulation in the body. Merely increasing oral fluid intake may not be sufficient in severe cases where rapid intervention is needed, making intravenous fluids the most effective approach in managing lithium toxicity effectively.