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% Document Info
\author{adrianao}
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  /Title (mood-stabilizers.pdf)
  /Creator (Cheatography)
  /Author (adrianao)
  /Subject (Mood Stabilizers Cheat Sheet)
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Mood Stabilizers Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{adrianao} via \textcolor{DarkBackground}{\uline{cheatography.com/168237/cs/35339/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}adrianao \\
  \uline{cheatography.com/adrianao} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 8th November, 2022.\\
   Updated 8th November, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
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\begin{multicols*}{3}

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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Medication}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Lithium Carbonate} \tn 
% Row Count 1 (+ 1)
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Purpose}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Lithium produces neurochemical changes in the brain, including serotonin receptor blockade.} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{There is evidence that the use of lithium can show a decrease in neuronal atrophy and/or an increase of neuronal growth} \tn 
% Row Count 5 (+ 3)
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Therapeutic Uses}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Lithium is used in the treatment of bipolar disorders} \tn 
% Row Count 2 (+ 2)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Lithium controls episodes of acute mania, and helps prevent the return of mania or depression} \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Contraindications/ Precautions}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Lithium is pregnancy risk category D. This medication is teratogenic, especially during the first trimester} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Discourage clients from breastfeeding if lithium therapy is necessary} \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Use cautiously in clients who have renal dysfunctions, heart disease, sodium depletion, or dehydration} \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Use cautiously in older adult clients and clients who have thyroid disease, seizure disorders, or diabetes} \tn 
% Row Count 11 (+ 3)
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\par\addvspace{1.3em}

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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complications}}  \tn
% Row 0
\SetRowColor{LightBackground}
Complication & Nursing Action and Education \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
GI distress: nausea, diarrhea, abdominal pain & Administer medication with meals or milk. Effects are usually transient \tn 
% Row Count 6 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Fine hand tremors: can interfere with purposeful motor skills and can be exacerbated by factors (stress, caffeine) & Administer beta-adrenergic blocking agents (propranolol). Adjust to the lowest dosage possible, given in divided doses, or use long term acting formulas. Report an increase in tremors \tn 
% Row Count 16 (+ 10)
% Row 3
\SetRowColor{white}
Polyuria, Mild Thirst & Use potassium sparing diuretic (spironolactone). Maintain adequate fluid intake by consuming 1,500 to 3,000 mL of fluid from beverages and food sources. \tn 
% Row Count 24 (+ 8)
% Row 4
\SetRowColor{LightBackground}
Weight gain & Assist client to follow a healthy diet and regular exercise regimen \tn 
% Row Count 28 (+ 4)
% Row 5
\SetRowColor{white}
Renal toxicity & Monitor I\&O. Adjust dosage, and keep dose low. Assess baseline kidney function, and monitor kidney function periodically. \tn 
% Row Count 35 (+ 7)
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\vfill
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\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complications (cont)}}  \tn
% Row 6
\SetRowColor{LightBackground}
Goiter and hypothyroidism: with long term treatment & Obtain baseline T3, T4, and TSH levels prior to starting treatment, then annually. Administer levothyroxine to manage hypothyroid effects. Monitor for manifestations of hypothyroidism (cold, dry skin, decreased HR, weight gain) \tn 
% Row Count 12 (+ 12)
% Row 7
\SetRowColor{white}
Bradydysrhythmia, hypotension, and electrolyte imbalances & Maintain adequate fluid and sodium intake. \tn 
% Row Count 15 (+ 3)
% Row 8
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Lithium toxicity: common adverse effect & Notify the provider if any nausea, vomiting, diarrhea, mental confusion and slurred speech. \tn 
% Row Count 20 (+ 5)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Interactions}}  \tn
% Row 0
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Interaction & Nursing Action and Education \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Diuretics: sodium is excreted with the use of diuretics, Reduced blood sodium decreases lithium excretion, with can lead to toxicity & Monitor for indications of toxicity and notify to provider. Maintain a diet adequate in sodium, and drink 1.5 to 3L of water each day from food or beverage sources. \tn 
% Row Count 11 (+ 9)
% Row 2
\SetRowColor{LightBackground}
NSAIDs (Ibuprofen and Celecoxib): Concurrent use will increase renal reabsorption of lithium leading to toxicity & Avoid use of NSAIDs. Use aspirin as a mild analgesic \tn 
% Row Count 17 (+ 6)
% Row 3
\SetRowColor{white}
Anticholinergics: antihistamines and tricyclic antidepressants can induce urinary retention and polyuria, leading to abdominal discomfort & Avoid medications with anticholinergic effects \tn 
% Row Count 24 (+ 7)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nursing Administration}}  \tn
% Row 0
\SetRowColor{LightBackground}
Monitor plasma lithium levels during treatment & Obtain lithium levels with each dosage change. Once therapeutic level is obtained, monitor monthly. Older clients require more frequent monitoring. Maintain range between 0.6-1.2 mEq/L \tn 
% Row Count 10 (+ 10)
% Row 1
\SetRowColor{white}
Severe toxicity & provide supportive measures. Hemodialysis may be indicated. Monitor labs. Take with food to minimize GI distress. Emphasize high risk of toxicity. Provide nutritional counseling. Stress the importance of sodium and fluid intake. \tn 
% Row Count 22 (+ 12)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}