21.02 Lithium (Lithonate)

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Generic Name

lithium

Trade Name

Lithizine

Indication

mania

Action

alters cation transport and neurotransmitter reuptake

Therapeutic Class

Mood Stabilizer

Pharmacologic Class

none

Nursing Considerations

• do not administer with NSAIDs
• monitor drug blood levels frequently
• may cause seizures, arrhythmias, fatigue, confusion, nausea, anorexia, hypothyroidism, tremors
• Ace Inhibitors may increase serum levels
• instruct patient to maintain adequate fluid intake
• therapeutic level: 0.5-1.5 mEq/L

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