Lithium_Side_Effects_Monitoring_Flashcards
What are the common side effects of lithium?
Common side effects of lithium include nausea/vomiting, diarrhoea, fine tremor, nephrotoxicity, thyroid enlargement, ECG changes, weight gain, and idiopathic intracranial hypertension.
What is the effect of lithium on the kidneys?
Lithium can cause nephrotoxicity, leading to polyuria secondary to nephrogenic diabetes insipidus.
How does lithium affect the thyroid?
Lithium can cause thyroid enlargement and hypothyroidism.
What are the ECG changes associated with lithium use?
ECG changes associated with lithium use include T wave flattening or inversion.
What are the recommended monitoring steps after starting lithium?
After starting lithium, lithium levels should be performed weekly and after each dose change until concentrations are stable.
How often should lithium blood levels be checked once stable?
Once stable, lithium blood levels should be routinely checked every 3 months, with levels taken 12 hours post-dose.
How often should thyroid and renal function be checked in patients on lithium?
Thyroid and renal function should be checked every 6 months in patients on lithium.
What information should be provided to patients taking lithium?
Patients taking lithium should be given an information booklet, alert card, and record book.
