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18 terms

lithium toxicity

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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