used to treat bipolar disorder by stabilizing the client’s mood, preventing or minimizing the highs and lows that characterize bipolar illness, and treating acute episodes of mania.
lithium normalizes the reuptake of certain neurotransmitters e.g., serotonin, norepinephrine, acetylcholine, and dopamine.
lithium also reduces the release of norepinephrine through competition with calcium and produces its effects intracellularly rather than within neuronal synapses.
valproic acid and topiramate are known to increase the levels of the inhibitory neurotransmitter GABA.
both valproic acid and carbamazepine are thought to stabilize mood by inhibiting the kindling process i.e., the snowball-like effect seen when minor seizure activity seems to build up into more frequent and severe seizures.
the use of (P) propranolol often improves the fine tremor.
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
common side effects include mild (N) nausea or (D) diarrhea, (A) anorexia, fine hand (T) tremor, (P) polydipsia, (P) polyuria, a (M) metallic taste in the mouth, and (F, L) fatigue or lethargy
lithium
weight (G) gain and (A) acne are side effects that occur later
lithium
weight (G) gain and (A) acne are side effects that occur later
lithium
toxic effects are severe (D) diarrhea, (V) vomiting, (D) drowsiness, muscle (W) weakness, and lack of (C) coordination
lithium
toxic effects are severe (D) diarrhea, (V) vomiting, (D) drowsiness, muscle (W) weakness, and lack of (C) coordination
lithium
toxic effects are severe (D) diarrhea, (V) vomiting, (D) drowsiness, muscle (W) weakness, and lack of (C) coordination
lithium
toxic effects are severe (D) diarrhea, (V) vomiting, (D) drowsiness, muscle (W) weakness, and lack of (C) coordination
lithium
toxic effects are severe (D) diarrhea, (V) vomiting, (D) drowsiness, muscle (W) weakness, and lack of (C) coordination
side effects of carbamazepine and valproic acid include (D) drowsiness, (S) sedation, (D) dry mouth, and (B) blurred vision.
side effects of carbamazepine and valproic acid include (D) drowsiness, (S) sedation, (D) dry mouth, and (B) blurred vision.
side effects of carbamazepine and valproic acid include (D) drowsiness, (S) sedation, (D) dry mouth, and (B) blurred vision.
side effects of carbamazepine and valproic acid include (D) drowsiness, (S) sedation, (D) dry mouth, and (B) blurred vision.
carbamazepine may cause (R) rashes and (O, h) orthostatic hypotension.
carbamazepine may cause (R) rashes and (O, h) orthostatic hypotension.
valproic acid may cause weight (G) gain, (A) alopecia, and hand (T) tremor.
for clients taking lithium and the anticonvulsants, monitoring blood levels periodically is important.
the time of the last dose must be accurate so that plasma levels can be checked 12 hours after the last dose has been taken.