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Mood Stabilizers - Nursing Pharmacology - Video - Osmosis

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17 views1 page

Mood Stabilizers - Nursing Pharmacology - Video - Osmosis

Uploaded by

bjane1340
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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MOOD STABILIZERS

DRUG NAME lithium (Lithobid)

CLASS Mood stabilizer; antimanic agent

Inhibition of norepinephrine and dopamine release in the brain


MECHANISM OF ACTION Increase of serotonin production in the brain
Alteration of Na+/ K+ ion transport (brain, muscle cells)

INDICATIONS Bipolar disorder

ROUTE(S) OF PO
ADMINISTRATION

Nausea, vomiting, diarrhea


Muscle weakness, hyperreflexia, ataxia
Slurred speech
SIDE EFFECTS
Seizures
Nephrogenic diabetes insipidus (polyuria, polydipsia)
Serotonin syndrome

Boxed warning: toxicity


Pregnancy, breastfeeding
Children < 12 years
CONTRAINDICATIONS AND Cardiac / renal / hepatic impairment
CAUTIONS Schizophrenia, brain trauma, brain organ syndrome
NSAIDs, ACE inhibitors, diuretics
Dehydration, hyponatremia
Thyroid disease

Assessment and monitoring


Mental status
Medication history
Baseline labs: BUN, creatinine, electrolytes, TSH, liver function,
thyroid function, negative pregnancy test

NURSING CONSIDERATIONS Client education


Take as prescribed; do not crush or chew
Do not stop even if feeling better
Take with meals or milk
Regular monitoring of lithium levels required
Keep fluid and sodium balance consistent
Report signs or symptoms of toxicity

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