lithium

Question 1

lithium maintenance levels
therapeutic range

Answer 1

0.6-1.2

Question 2

lithium acute mania levels
therapeutic range

Answer 2

1.0-1.5

Question 3

lithium level 1.5-2
symptoms of tox

Answer 3

Nausea and vomiting,
diarrhea, reduction
coordination, drowsiness,
slurred speech, muscle
weakness, blurred vision,
ataxia, tinnitus

Question 4

treatment for lithium tox 1.5-2

Answer 4

Withhold next dose; call
physician. Serum lithium
levels are ordered, and doses
of lithium are usually
suspended for a few days, or
the dose is reduced

Question 5

lithium level 2-3
symptoms of tox

Answer 5

Giddiness, choreoathetoid
movements, confusion,
muscle fasciculation, hyper-
reflexia, hypertonic muscles,
myoclonic twitches, pruritus,
maculopapular rash,
movements of limbs, slurred
speech, large output of dilute
urine, incontinence of bladder
of bowel, vertigo