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high incidence

increased thirst increased urination polyuria

signs with lithium levels less than

1.5 remember normal is 0.5-1.5
dry mouth
lethargy
fatigue
muscle weakness

signs with lithium levels less than

headache
gi disturbance
FINE hand tremors

adverse effects from 1.5-2

vommiting
diarrhea
drowsy
in coordination

adverse effects from 1.5-2

coarse hand tremors
muscle twitching

adverse effects from 2-2.5

ataxia
slurred speech
confusion
clonic movements

adverse effects from 2-2.5

high output of dilute urine
blurred vision
low bp

acute toxicity

seizures
oliguria
coma
peripheral vascular collapse
death

lith toxicity note

that coarse hand tremors is worse then fine
fine is know side effect because not seen with high levels of lithium

with lithium there is

increased urine output then encourage to drink 12 glasses of water

oversedations signs are

tinnitus
slurred speech

report

Polyuria is a condition usually defined as excessive or abnormally large production or passage of urine (at least 2.5 or 3 L over 24 hours in adults)

report

polyuria
prolonged vomiting
diarrhea
fever may need to reduce levels

clients risk for developing toxicity

post op pt
dehydrated hyperthyorid
renal disease
pt on diuretics

normal levels

0.5-1.5

toxic levels

above 2

management of lithium is

possible hemodialysis

long term use may cause

goiter may be associated with hypothyrodism

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