Lithium toxicity and therapeutic dose
Important points phycosis
At 32 week decide time and mode of delivery MDT
Educate the partner and family about symptoms and when to bring pt to hospital
1:4 risk psychosis being bipolar
1:4 depression
1:2 if bipolar and family
Baby risk 1:10 to develop
Lithium toxicity
0.6 -1theraputic level
1 .2 toxic level
Heart scan 22-24 weeks
If pt is psychosis and refuses admission
Ask family member to attend the consultation
Say I am concerns is post partum phsychosis
Monitor lethium
Maternal and fetal toxicity
Symptoms
Symptoms of lethium toxicity