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19 Cards in this Set
- Front
- Back
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Lithium usually takes ?-? days to reach therapeutic levels |
7-14
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For severe manic episodes lithium or depakote and an atypical antipsychotic such as ? or ? are recommended.
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Zyprexa,
Risperdal |
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Lithium is less effective in people with ? mania, ? cycling, and those with atypical features.
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mixed,
rapid |
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A physical workup is necessary before beginning therapy to assess pt ability to tolerate lithium and this work up includes ? function test, ? function test and pregnancy test if 50y.o. or under and able to have kids, and is not suitable for women who are ?
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kidney(Bun/creat),
thyroid(T3,T4), breastfeeding |
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lithium has a poor response if the pt has ? or ? damage.
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dementia,
brain |
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Lithium is not given to children under the age of ?
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12
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Blood levels of lithium are drawn ? or ? until the therapeutic level is reached. After that, levles are checked every ? after 6 months to a year levels are checked every ? months.
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weekly or bi-weekly,
month, 3 |
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Early lithium toxicity can start at levels < ? and can include I-T-H-I-U and can cause the brain to ? if any of these signs appear the nurse should ? the meds, measure ? levels, and fix ?
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1.5,
Increase urination, Tremors, Increase Uwee, hold, blood, dehydration |
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Advanced lithium toxicity occurs between ? and ? mEq/L the signs and symptoms include ? hand tremor and ? changes.
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1.5 & 2.0,
coarse, EEG |
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Severe lithium toxicity occurs between ? & ? mEq/L the s/s of this are ? gait and ? If the pt reaches this level they will be ? meds will be stopped and they may be given medicine to make the ? the lithium or they be put on ?
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2.0-2.5,
ataxic, death, hospitilized, excrete, dialysis |
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If the pt has an increased ? intake the kidneys will excrete lithium so the pts level will be low and the pt can slip back into a ? state. Too much ? can also do this.
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Na+,
manic, H2O |
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Common causes of lithium toxicity include decreased ? intake, ? therapy, decreased ? function, ? loss from fever, sweating, vomiting, diarrhea, a ? illness.
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Na+,
diuretic, kidney, F/E, medical |
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Lithium overdose intentional or unintentional can cause ?
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death
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Lithium can be given with ? to derease stomach upset and the pt will want to maintain normal ? intake.
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food,
Na+ |
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A manic relapse can occur within ? weeks of stopping lithium.
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2
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Pts should take lithium for ?-? months after and episode. and some may continue ?
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9-12,
indefinitely |
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When a Dr. is taking a pt of lithium the dose must be ? tapered.
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gradually
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Lithium is tough on what 3 organs ?
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kidneys,
thyroid, heart |
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Risks of long-term lithium therapy include ? and inability to concentrate ?
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hypothyroidism,
urine |
