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Mania - Coggle Diagram

- - - - CK
        
        Baseline & monthly
  - - - creatinine
      - BUN
      - electrolytes
      - cbc w/diff
      - WBC
      - Urinalysis
      - EKG
      - CK levels
      - When?
        
        12 hours post dose
        
        after 4 days on med
        
        then q 4-5 days during initial therapy
      - range
        
        0.6/8 - 1.2 (Varies)
        
        maintenance: 0.6 - 1.0
    - - signs/symptoms
        
        nystagmus
        
        ataxia
        
        increased deep tendon reflexes
        
        altered mental status
        
        cardiac arrhythmias
    - - Increases lithium
        
        ACE Inhibitors (-prils)
        
        ARBs (-sartans)
        
        NSAIDs
        
        tetracyclines
        
        metronidazole
      - Decreases Lithium
        
        potassium sparing diuretics
        
        sodium channel blockers
        
        aldosterone
        
        spironolactone
        
        thiazide diuretics
        
        theophyine
  - - - GFR
        
        normal: 90
        
        best measurement of kidney function
        
        dosing
        
        no need to adjust dose if GFR is 60+
- - - - Scoring
        
        Range: 0-60
        
        12+ = mania