A client receiving lithium (Eskalith) for bipolar disorder would be at risk for increased lithium toxicity if it were prescribed with which other medication?
1. Potassium citrate
2. There are no drug interactions with lithium (Eskalith)
3. Diuretics
4. Sodium bicarbonate
3
Rationale 1: Potassium citrate increases the rate of removal of lithium.
Rationale 2: There are many different medications that interact with lithium.
Rationale 3: Diuretics cause an increase in the excretion of sodium and increase the risk for toxicity.
Rationale 4: Sodium bicarbonate increases the rate of removal of lithium.
Global Rationale: Diuretics cause an increase in the excretion of sodium and increase the risk for toxicity. Potassium citrate increases the rate of removal of lithium. Diuretics cause an increase in the excretion of sodium and increase the risk for toxicity. Sodium bicarbonate increases the rate of removal of lithium.
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