Beruflich Dokumente
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Divya K Y
M.S.N, RN
Lecturer, community and mental health Nursing
department
Mood Stabilizer
Anti convulsant:
Carbamazepine : 200-1600mg
Lamotragine: 100-200mg
Topiramate: 50-400mg
Calcium channel blocker:
Eg: Verapamil 80-320mg
Indication
Talkativeness
Grandiosity
Distractibility
Insomnia
Lack of energy
Agitation
Loss of interests
Feeling guilt
Suicidal ideation
Lithium
Therapeutic serum concentration
For acute mania:1-1.5 meq/L
For maintenance : 0.6-1.2 meq/L
Serum lithium level to be monitored once or twice a
week until dosage and serum levels are stable.
Then monthly during maintenance therapy
Symptoms of lithium toxicity begin to appear as the
blood levels greater than 1.5 meq/L
Serum level of 1-5-2: Blurred vision, ataxia, tinnitus,
persistent nausea, vomiting and diarrhea
2-3.5 meq/l: excessive output of dilute urine, increasing
tremors, muscular irritability, psychomotor retardation,
mental confusion and giddiness
>3.5 meq/l: impaired consciousness, nystagmus, seizures,
coma, MI and cardiovascular collapse, renal failure
Nursing Intervention
Clients needs to maintain a normal salt or sodium intake.
Avoid NSAID.
Avoid caffeine.
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Carbamazepine (Tegretol)
Indication:
Treatment of epilepsy
Treatment of manic and depressive episodes.
Resistant schizophrenia
Prevention of relapse of mania and depressive episodes.
Side Effect and Management