1030:
- Discharge client home
- Have the client follow up with psychiatry in 2 weeks
- Prescription: lithium 300 mg PO qHS
Day 3
1025: The client has stabilized in the past 24 hours and has been cooperative with nursing staff. The client is fully oriented and has a full range affect. The client's speech has a normal rate, tone, and volume. Thought process is linear. The client denied any hallucinations and suicidal ideations. The client appears ready for discharge and will continue lithium until he can follow-up with his own psychiatrist.
The nurse provides the client with education regarding the lithium prescription.
➢ Complete the following sentences by choosing from the lists of options.
You can expect the effects of lithium to start [1 to 2 weeks / 3 to 4 weeks / 5 to 6 weeks / 7 to 8 weeks] after starting this medication. br You can prevent lithium toxicity by [adding more fiber to your diet. / using salt substitutes instead of table salt. / consuming 2-3 liters of water daily. / avoiding food that contains tyramine.] br Lithium may cause you to develop [nausea and vomiting / fine hand tremor / weight loss / coarse hand tremor] which is expected and not a sign of lithium toxicity. br [Decreased urination / Gastrointestinal upset / Blurred vision / Excessive thirst] is one of the earliest signs that you could be developing lithium toxicity and need medical attention. br To avoid developing lithium toxicity, you will need to have your lithium level monitored. You should have your lithium level drawn [twelve hours / eight hours / six hours / four hours] after the last dose. br Your labs will also be drawn to determine if you are developing [elevated liver enzymes / hypoparathyroidism / hypothyroidism / hyperthyroidism] which commonly occurs with lithium treatment.
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