Lithium Jeopardy

Uses

100

:( :) :( :)

Bipolar Disorder 

200

Chronic :(

Depressive disorder (MDD)

300

High energy or irritability that can conclude in a questionable decisions and behaviors 

Treat and prevents manic episodes

Side effects

100

:( belly

GI upset (nausea, vomiting, diarrhea)

200

Let it go

Polyuria (increased urination)

300

Uncontrollable movement 

Tremors

Nursing Implications

100

Monitor these levels

TSH T3 and T4

200

Diet

Monitor salt and caffeine intake (hydration important as well)

300

Report-

(could be an early sign of toxicity)

Hand tremors

Lithium Toxicity

100

Above ___ mEq/L

1.5 mEq/L

200

Advanced Symptoms (name at least 2)

Ataxia [defective muscle control/coordination-gait], Serious EEG Changes, Blurred Vision, Large output dilute urine, Seizures, Coma, Severe Hypotension

300

Late symptoms (name at least 1)

Oliguria, seizure's, rapid progression to coma and even death.