Heart & Hydration 2 key nursing assessments for lithium toxicity DID multiple personlaities, usually hx childhood trauma Hypertensive Crisis mix MAOIs and SSRIs w/out washout 1/2 life of ssri Agoraphobia fear of leaving home, going outside 0.6- 1.2 lithium therapeutic range Akathesia continuous restlessness and fidgeting that occur with antipsychotic use Fight or Flight physiological changes Increased HR, Resp, dry mouth, pupil dialtation Cogentin anticholinergic for TD effects drying urinary retention, dry mouth, nasal congestion Hyperactivity poor judgement talk insomnia s/s mania dietary teaching for lithium salt & water weight gain Persistent Depressive Disorder s/s 2yr always felt this way long hx depression GAS Alarm reaction, resistance, exhaustion delusions of control or influence ndividual believes that certain objects or persons have control over their behavior Paranoia Neologisms Echolalia + symptoms Schizophrenia Ideas of Reference individual’s belief that a neutral event within environ has personal meaning- nurses talking about him Anhedonia unable to feel joy Prazosin (minipress) given to control nightmares in PTSD Dissociative Amnesia inability to recall information about the self, usually of a traumatic nature. SSRI safe in OD risk pt (prozac is one) high risk suicide Benzo "azepines" history of substance use disorders PTSD symptoms avoidance, hypervigilnce, fear, guilt, flashbacks, nighmares Carbamazepine (Tegretol) anticonvulsant used for bipolar w rapid changing mood Lithium Toxicity cough, runny nose, chest congestion, blurred vision, fever of 100.9°F, and “ringing in my ears.” Tyramine found in aged meats/cheeses, red wine. dont mix w MAOI Agranulocytosis significant decrease in white blood cell (WBC) count and reduced immunity. watch for fever s/s infection Heart & Hydration 2 key nursing assessments for lithium toxicity DID multiple personlaities, usually hx childhood trauma Hypertensive Crisis mix MAOIs and SSRIs w/out washout 1/2 life of ssri Agoraphobia fear of leaving home, going outside 0.6- 1.2 lithium therapeutic range Akathesia continuous restlessness and fidgeting that occur with antipsychotic use Fight or Flight physiological changes Increased HR, Resp, dry mouth, pupil dialtation Cogentin anticholinergic for TD effects drying urinary retention, dry mouth, nasal congestion Hyperactivity poor judgement talk insomnia s/s mania dietary teaching for lithium salt & water weight gain Persistent Depressive Disorder s/s 2yr always felt this way long hx depression GAS Alarm reaction, resistance, exhaustion delusions of control or influence ndividual believes that certain objects or persons have control over their behavior Paranoia Neologisms Echolalia + symptoms Schizophrenia Ideas of Reference individual’s belief that a neutral event within environ has personal meaning- nurses talking about him Anhedonia unable to feel joy Prazosin (minipress) given to control nightmares in PTSD Dissociative Amnesia inability to recall information about the self, usually of a traumatic nature. SSRI safe in OD risk pt (prozac is one) high risk suicide Benzo "azepines" history of substance use disorders PTSD symptoms avoidance, hypervigilnce, fear, guilt, flashbacks, nighmares Carbamazepine (Tegretol) anticonvulsant used for bipolar w rapid changing mood Lithium Toxicity cough, runny nose, chest congestion, blurred vision, fever of 100.9°F, and “ringing in my ears.” Tyramine found in aged meats/cheeses, red wine. dont mix w MAOI Agranulocytosis significant decrease in white blood cell (WBC) count and reduced immunity. watch for fever s/s infection
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2 key nursing assessments for lithium toxicity
multiple personlaities, usually hx childhood trauma
mix MAOIs and SSRIs w/out washout 1/2 life of ssri
fear of leaving home, going outside
lithium therapeutic range
continuous restlessness and fidgeting that occur with antipsychotic use
Increased HR, Resp, dry mouth, pupil dialtation
anticholinergic for TD effects drying urinary retention, dry mouth, nasal congestion
s/s mania
salt & water weight gain
s/s 2yr always felt this way long hx depression
Alarm reaction, resistance, exhaustion
ndividual believes that certain objects or persons have control over their behavior
+ symptoms Schizophrenia
individual’s belief that a neutral event within environ has personal meaning- nurses talking about him
unable to feel joy
given to control nightmares in PTSD
inability to recall information about the self, usually of a traumatic nature.
safe in OD risk pt (prozac is one) high risk suicide
"azepines" history of substance use disorders
avoidance, hypervigilnce, fear, guilt, flashbacks, nighmares
anticonvulsant used for bipolar w rapid changing mood
cough, runny nose, chest congestion, blurred vision, fever of 100.9°F, and “ringing in my ears.”
found in aged meats/cheeses, red wine. dont mix w MAOI
significant decrease in white blood cell (WBC) count and reduced immunity.
watch for fever s/s infection
