A client taking lithium has been altering the daily intake of sodium to reduce high blood pressure. What should the nurse realize this client is at risk for developing? (Select all that apply.)
a. Hypocalcemia
b. Increased risk of lithium toxicity
c. Increased urinary losses of lithium
d. Increased urinary losses of magnesium
e. Increased lithium reabsorption in the kidneys
b. Increased risk of lithium toxicity
e. Increased lithium reabsorption in the kidneys
When clients use lithium and restrict sodium intake, the kidneys reabsorb more lithium from the urine which increases the risk of lithium toxicity. Hypocalcemia, urinary losses of magnesium, and urinary losses of lithium are not associated with sodium restrictions. Hypocalcemia is often the result of an endocrine disorder but also can occur as a result of using loop diuretics. Increased fluid intake can increase urinary losses of lithium. Alcohol intake increases urinary losses of magnesium.
When clients use lithium and restrict sodium intake, the kidneys reabsorb more lithium from the urine which increases the risk of lithium toxicity. Hypocalcemia, urinary losses of magnesium, and urinary losses of lithium are not associated with sodium restrictions. Hypocalcemia is often the result of an endocrine disorder but also can occur as a result of using loop diuretics. Increased fluid intake can increase urinary losses of lithium. Alcohol intake increases urinary losses of magnesium.
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