Lithium Carbonate Card copy PDF

Preview

Summary

Need to know information on lithium...

Description

DRUG CARD

Student Name:Lionel Tabong.

Therapeutic class of drug:

Pharmacologic class of drug: Mood Stabilizer.

MEDICATION (GENERIC name): Lithium

(BRAND name): Lithobid.

MECHANISM OF ACTION: Prevents or decrease incidence of acute manic episodes. INDICATIONS: Bipolar disorder. CONTRAINDICATIONS: Hypersensitivity,Pregnancy/breastfeeding, Brugada syndrome, Alcohol/tartrazine products. PERTINENT LABS TO MONITOR: Na, Lithium levels, Renal & thyroid function, WBC ROUTES: PO

RECOMMENDED DOSAGE RANGE: 300mg 3 times daily. Common side-effects

  

Life-threatening side effects

Fatigue, headache, Impaired memory, dizziness, sedation ECG changes, abdominal pain, anorexia, diarrhea, nausea Polyuria, muscle weakness, tremors, leukocytosis.

Nursing Implications/Patient and family teaching:  Monitor findings or lithium toxicity ie vomiting, diarrhea, tremors, drowsiness, muscle weakness, decreased coordination, slurred speech  Take meds as directed even if feeling well.  May cause dizziness or drowsiness.  Low Na levels cause toxicity, adjust diet for more Na  May cause weight gain.

  

Seizures Serotonin syndrome Lithium toxicity

What focused assessment should be performed prior to administration to ensure the medication is safe to give? Tremors, decreased coordination, muscle weakness WHY? Risk of lithium toxicity

Interactions:  Increase risk neurologic toxicity with methyldopa, phenytoin, or carbamazepine.  Psyllium can decrease lithium levels.  Large changes in Na intake may alter the renal elimination of lithium  Aminophylline, acetazolamide, theophylline, and Na bicarbonate increase renal elimination. For IV fluids & IVP or IVPB medications, fill out the sections below:

Antidote/Reversal agents:

IV flow rate (e.g. ml/hr)

Dilution (typically only needed for IVP)

Rate of administration (minutes)

IV site (Y-site) compatibility Onset 5-7days Peak 10-21days...