lithium Flashcards
1
Q
what
A
mood stabiliser
used for bipolar disorder
2
Q
therapeutic range
A
0.4-1 mmol/L
3
Q
side effects
A
fine tremor dry mouth GI upset increased thirst inc urination hypothyroidism hyperparathyroidism nephrotoxicity
4
Q
Monitoring - when should lithium levels be checked
A
12hrs post dose one week after starting treatment one week after dose change weekly until levels stable 3 monthly once levels stable
5
Q
what should be monitored every 6mo
A
BMI
U&Es, eGFR
calcium
TFTs
6
Q
clinical features of lithium toxicity
A
coarse tremor seizure lack coordination dysarthria arrythmias visual disturbance hyperreflexia
7
Q
lithium toxicity - what serum levels
A
1.5mmol and above
severe if ~2+
8
Q
ECG changes
A
T wave flattening/inversion
