lithium
Class:
Mood Stabilizer
Indication:
Bipolar disorder.
Mode of Action:
Affects sodium transport and neurotransmitter metabolism.
Cautions:
Renal disease.
Indication:
Nephrotoxicity, fine hand tremors, polyuria, ↑ thirst, electrolyte imbalances, hypothyroidism, leukocytosis, GI upset, weight gain, fatigue, Lithium toxicity.
NC/PT:
Monitor for S/S of toxicity (plasma levels > 1.5 mEq/L): coarse tremors, confusion, hypotension, seizures, tinnitus. Monitor serum levels of lithium, sodium, BUN, creatinine. Maintain adequate fluid and sodium intake (↓ sodium intake = ↑ lithium levels). Avoid activities that cause excessive sweating. Report illnesses with vomiting. Therapeutic serum levels = 0.6 - 1.2 mEq/L.