A patient taking lithium for bipolar disorder is prescribed ibuprofen for back pain. Which nursing action is most appropriate?
Correct answer: C. Ask the prescriber to review the combination
- A. Administer both medicines with extra oral fluids
- B. Advise the patient to take ibuprofen only at bedtime
- C. Ask the prescriber to review the combination
- D. Give the lithium dose after the ibuprofen dose
Explanation
Ibuprofen and other nonsteroidal anti-inflammatory drugs can reduce renal lithium clearance and raise the serum lithium concentration. The nurse should request a medication review rather than assume that fluids or dose timing will prevent toxicity.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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