Lithium Flashcards Preview

Pharmacy Pre-Reg > Lithium > Flashcards

Flashcards in Lithium Deck (4)
Loading flashcards...
1

Monitoring

THYROID
- every 6 months
Li serum
- Weekly
- then 3 months when stable
BLOOD
- 12hours after dose change

2

Toxicity signs

N+V
Visual disturbances
Muscle weakness
Fine tremor
CNS disturbances
- confusion
- drowsiness
- pack of coordination
AV block
Polyuria
Arrythmias
QT prolongation
Skin reactions (ulcers)

3

Interactions

Diuretics ( thiazide more)
ACE inhibitors/ ARBs
NSAIDs
Antiepileptics

4

Patient advice

Same brand
Maintain adequate fluid
Avoid salt changes in diet ( ↓ salt = Li toxicity)
Avoid abrupt withdrawal
- over 4weeks - 3months ( if need to stop abruptly change to atypical antipsychotics/ valproate