1
Q
Li toxicity 3 levels
A
Mild: 1.5-2 ataxia, nystagmus, slurred speech dizziness, lethargy, weakness nausia, vomitting, abdo pain Moderate:2-2.5 anorexia, persistent N/V blurred vision fasiculations, hyper-reflexia, clonic limb movements, choreoathetoid movements, convulsions delirium, stupr, coma Severe: > 2.5 oliguria generalized convulsions, death
2
Q
li level decreased by
A
sodium bicarb sodium diet osmotics xanthines carbonic anhydrase inhibitors (acetazolamide) caffeine - mannitol - psyllium
3
Q
no change in Li level
A
ASA
Furosemide ( can go up or down)
Spironolactone
?Ca channel blcokers
