Lithium
When does the lithium levels become toxic
1.5
what is a concern when a patient is taking atypical antipsychotics and has diabetes
metabolic syndrome
what is valporic acid used to treat
seizures, bipolar disorder, and migraines
what is one nursing diagnose for Lisa's case
risk for violence
name three common side effects of lithium
hand tremors, increased urination, mild thirst, diarrhea, vomitting, drowsiness, muscle weakness, lack of coordination, giddiness, weakness, blurred vision, and ringing in the ears
what should you do before starting an atypical antipsychotic
obtain a baseline fasting blood glucose
what class of medication is lamotrigine
anti-convulsant
what is a second nursing diagnosis for Lisa's case
disturbed sleep pattern
your patient is on lithium and is also a diabetic on metformin what can be a concern with this patient and how do you prevent
lithium and metformin may cause variable effects on glycemic control, monitor glucose closely
as a nurse what should you instruct the client to report when taking an atypical antipsychotic
increased thirst, urination, appetite
common side effects of lamotrigine and valproic acid
nausea, dizziness, headache, drowsiness, menstrual cycle changes, insomnia, blurred and double vision, and back pain
what is three nursing interventions for risk for violence?
1. Decrease environmental stimuli to help decrease escalation of irritability and manage manic symptoms
2.Redirect agitation and violent behavior towards an object such as a pillow
3. Provide emotional support using a calm firm approach
what should you avoid when taking lithium
excessive sunlight and heat
what type of diet should a diabetic patient who is on an atypical antipsychotic follow
a healthy low calorie diet
side effects that need reported lamotrigine
rash, worsening depression or suicidal thoughts, and flu symptoms
What are three nursing interventions related to disturbed sleeping pattern?
1. Assess sleeping patterns of the patient
2. Discourage caffeine and large meals prior to bed
3. Use relaxing techniques such as deep breathing and meditation to calm the patient
what is one nursing intervention for someone taking lithium
hydration
what can metabolic syndrome lead to if left uncontrolled?
dyslipidemia with increased risk for hypertension
side effects that need reported for valproic acid
loss of appetite, upper stomach pain, ongoing nausea, dark urine, swelling in the face, and jaundice
What is another nursing diagnosis that can be used for Lisa's bipolar disorder?
Ineffective coping