The nurse is preparing to administer lithium [Lithobid] to a patient. The nurse will include which of the following nursing implications? Select all that apply.
a) Monitor lithium levels to ensure that they remain within the therapeutic range 2 to 4 mEq/L.
b) Sodium deficiency can cause lithium to accumulate.
c) Instruct patients to maintain normal sodium intake.
d) Inform patients that diarrhea can cause significant sodium loss.
e) Diuretics promote sodium excretion and must be used with caution.
f) Encourage family involvement to oversee drug use and promote adherence.
g) Renal impairment can cause lithium accumulation. Kidney function should be assessed before treatment and once yearly thereafter.
h) Evaluate and monitor control of acute manic episodes in patients with BPD, and prophylaxis against recurrent mania and depression in patients with BPD.
