Lithium Carbonate Must-Knows
The NCLEX consists of four core topics, with Physiological Integrity as one of them. Under this section is ‘pharmacological and parenteral therapies,’ undoubtedly one of the hardest subjects in the exam.
As such, it is important that you familiarize yourself with the common medications found in the NCLEX, one of which is Lithium Carbonate. Here are some important facts you need to know about this drug:
http://www.amazon.com/dp/B00EMLFF0S/ref=rdr_kindle_ext_tmb to get the Top Medications on NCLEX RN exam
Indication for Use
Lithium Carbonate is an anti-manic drug, used in the treatment of manic episodes in individuals with bipolar disorder. It is also used as a maintenance drug, in order to decrease the intensity and frequency of ensuing manic outbreaks.
Lithium Carbonate, also known by the names Eskalith, Eskalith CR, Lithobid, Lithonate and Lithotabs, works by inhibiting dopamine and norepinephrine release. Placed under Pregnancy Category D, this drug is known to cross the placenta and the milk ducts.
As a nurse, you need to know that Lithium Carbonate interacts with a lot of drugs and supplements. Toxicity can occur if it is taken in conjunction with Thiazide diuretics such as Hydrochlorothiazide and Indapamide. CNS toxicity can also occur if it is taken with Carbamazepine.
Plasma Lithium Carbonate levels, on the other hand, can increase and become toxic if it taken in conjunction with NSAIDs (i.e. Ibuprofen and Meloxicam) and Indomethacin.
Prior to administering Lithium Carbonate, make sure to take the patient’s history. Note if the patient has a severe heart or kidney problem. Assess if the patient takes diuretics, or if he suffers from tartrazine hypersensitivity.
Also remember to monitor the patient’s vital signs, weight, orientation and affect prior to administering Lithium Carbonate. Check his fluid intake and output as well. Do not […]