A client takes a maintenance dosage of lithium carbonate for a bipolar disorder. She has come to the community health clinic, stating that she "has had the flu for over a week." She describes her symptoms as coughing, runny nose, chest congestion, fever, and gastrointestinal upset. Her temperature is 100.9°F. What situation does the nurse anticipate?

Question

Quizplus · Accepted Answer

The client's symptoms are consistent with possible lithium toxicity, as the coughing, runny nose, chest congestion, and fever are not typical symptoms of the flu. Additionally, gastrointestinal upset can be a sign of lithium toxicity. The client's temperature of 100.9°F may also be a sign of lithium toxicity, as fever is a potential symptom. The nurse should monitor the client's lithium levels and assess for other signs of lithium toxicity, such as tremors, confusion, and difficulty walking. It is important to note that stopping lithium abruptly can cause withdrawal symptoms, so it is not recommended unless under the guidance of a healthcare provider. Tyramine is not associated with lithium toxicity.

A Client Takes a Maintenance Dosage of Lithium Carbonate for a Bipolar