Mood Stabilisers Flashcards
1
Q
What is lithium’s therapeutic window?
A
0.4-1.0 mmol/L
0.8-1.0 in acute manic episodes
2
Q
How often does lithium blood monitoring need to occur?
A
- 12 hours post-dose
- Then, 1 week after starting medication OR 1 week after any dose change
- Then, weekly until stable
- Then, 3-monthly.
3
Q
What blood parameters need testing prior to starting lithium?
A
- Full blood count
- Urea and electrolytes
- Thyroid function tests
- Electrocardiogram
4
Q
Which blood parameters need to be monitored every 6 months during lithium treatment?
A
- Urea and electrolytes
- Thyroid function tests
5
Q
What are the signs of lithium toxicity?
A
- Coarse tremor
- Hyperreflexia
- Acute confusion
- Polyuria
- Seizure
- Coma
