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Answered step-by-step
Asked by mukiibieva

A patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness,
abdominal pain, and slurred speech. The ARNP should do which of the following?

A
.
The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleep it off.

✔️B
.
The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreases the
lithium by half, and encourages the patient to drink more fluids.
C
.
The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the
lithium immediately, orders lithium level, serum electrolytes, and renal function tests.
D
.
The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues
the lithium and tells the patient hemodialysis will most probably be needed.

 

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