when should we complete blood testing with use of lithium? - .......ANSWERS 🔷🖊
✔✔early in therapy- every 2-3 days, until a therapeutic dose has been established,
then long term-every 3 to 6 months
therapeutic level of lithium - .......ANSWERS 🔷🖊✔✔0.8-1.4 mEq/L
toxic level of lithium - .......ANSWERS 🔷🖊✔✔greater than 1.5 mEq/L
when can we start to see side effects of lithium? - .......ANSWERS 🔷🖊✔✔when the
drug is at a therapeutic level. they are expected.
what are the side effects of lithium (therapeutic level)? - .......ANSWERS 🔷🖊✔✔GI
effects, tremors, polyuria, renal toxicity, goiter, hypothyroidism, teratogenesis.
what will happen to side effects when one has a toxic level of lithium?
- .......ANSWERS 🔷🖊✔✔the effects will be much worse and possibly life threatening
i.e. tremor that becomes larger with muscle incoordination
what medications can we use to treat the cyclic effects of bipolar (mood-depression-
psychosis)? - .......ANSWERS 🔷🖊✔✔mood stabilizer (lithium)= control mood
antidepressant (SSRI,TCA,MAOI)= control depression
antipsychotic (Ist/2nd generation)= control the psychosis
how does a benzodiazepine help with ETOH withdrawal? - .......ANSWERS 🔷🖊✔✔it
will decrease the withdrawal manifestations and intensity, while making one sleepy
and having CNS depression. plus, it is easy to give IM and will work quickly.
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