Lithium

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Last updated 12:24 AM on 6/29/26
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8 Terms

1
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Early signs of toxicity

  1. GI upset

  2. course hand tremor

  3. confusion

  4. hyperirritability of muscles

  5. EKG changes

  6. sedation and incoordination

2
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Advancing toxicity

  1. Ataxia

  2. Foddiness

  3. blurred vision

  4. clinical movements

  5. EKG changes

  6. Polyuria

  7. Seizures

  8. Stupor

  9. Severe hypotension and coma

  10. death is typically secondary to pulmonary complication

3
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Severe toxicity

  1. convulsions

  2. oliguria

  3. possibly death

4
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Education

  1. nonaddictive

  2. mood stabilization and relapse

  3. slow onset

  4. monitoring blood levels is key

  5. monitor i&O’s

  6. monitor things that can lead to dehydration

  7. Nausea, vomiting diarrhea, thirst, polyuria, lethargy, sedation, fine hand tremor - known side effects

  8. monitor thyroid, parathyroid and renal function

  9. initial water weight gain

5
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Therapeutic levels of Lithium

0.6 - 1.2 MEQ

6
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Early toxicity levels

1.5 - 2

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Advancing toxicity levels

2.0 - 2.5 MEQ

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Severe toxicity levels

greater than 2.5 MEQ