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success1980 success1980 (New Member) New Member

do you know the management for lithium toxicity or drug antidote?

NCLEX   (11,836 Views 3 Comments)
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my classmate told me that Mannitol and Diamox is the ANTIDOTE for LITHUM toxicity.

but i know that dialysis is Pt. have lithuim toxicity.

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No specific antidote for Lithium poisoning is known. Early symptoms of Lithium toxicity can usually be treated by reduction of cessation of dosage of the drug and resumption of the treatment at a lower dose after 24 to 48 hours.

Treatment is essentially the same as that used in barbiturate poisoning: 1) gastric lavage, 2) correction of fluid and electrolyte imbalance and 3) regulation of kidney functioning. Urea, mannitol, and aminophylline all produce significant increases in Lithium excretion. Hemodialysis is an effective and rapid means of removing the ion from the severely toxic patient. Infection prophylaxis, regular chest X-rays, and preservation of adequate respiration are essential.

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