Mood Stabilizers

Included In This Lesson
Study Tools For Mood Stabilizers
Outline
Overview
- Enhances serotonin and/or GABA function.
Nursing Points
General
- Most commonly used = Lithium
- Increases serotonin and decreases norepinephrine
- Used for Bipolar Disorder
Nursing Considerations
- Lithium
- Monitor therapeutic level
- 0.6-1.2 mEq/L
- Frequency per protocol
- More often after initiation
- Then monthly
- Best drawn in morning, approximately 12 hours since last dose
- Caution in Pregnancy
- Things that can cause toxicity:
- Dehydration
- ETOH
- Caffeine
- Diuretics
- Promote appropriate fluid balance
- Monitor therapeutic level
Toxicity
- Lithium toxicity
- Can be mild, moderate, or severe
- Kidneys cannot excrete it; builds up
- Usually when serum levels are 1.5 – 2 mEq/L
- Know symptoms
- N/V/D
- Weakness
- Tremor
- Seizures
- Hallucinations
- Interventions
- Assess patient
- Full set of VS
- EKG
- LOC
- Hold dose, notify Provider
- Obtain labs: CBC, lithium level, CMP/BMP
- Initiate suicide precautions
- Assess patient
Pharm
Concepts Covered:
- Test Taking Strategies
- Medication Administration
- Microbiology
- Anxiety Disorders
- Depressive Disorders
- Vascular Disorders
- Nervous System
- Intraoperative Nursing
- Central Nervous System Disorders – Brain
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Immunological Disorders
- Understanding Society
- Gastrointestinal Disorders
- Circulatory System
- Concepts of Pharmacology
- Studying
- Newborn Care
- Disorders of Pancreas
- Respiratory Disorders
- Postoperative Nursing
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Substance Abuse Disorders
- Upper GI Disorders
- Noninfectious Respiratory Disorder
- Bipolar Disorders
- Peripheral Nervous System Disorders
- Cardiac Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Adulthood Growth and Development
- Emergency Care of the Cardiac Patient
- Tissues and Glands
- Adult