Institute fall and seizure precautions and reduce environmental stimulation.
執行跌倒與癲癇預防措施並減少環境刺激。
Notify the provider or rapid response team according to instability and obtain lithium, electrolyte, and renal studies as ordered.
根據不穩定程度通知醫療提供者或快速反應小組，並依醫囑取得 lithium、電解質和腎功能檢查。
Stay with the client and assess airway, breathing, circulation, vital signs, neurologic status, hydration, and urine output.
留在個案身邊並評估呼吸道、呼吸、循環、生命徵象、神經狀態、體液平衡及尿量。
Continue frequent reassessment, document the response, and communicate the updated plan during handoff.
持續頻繁地再評估、記錄反應，並在交班時溝通更新的計畫。
Hold the due lithium dose and prevent additional lithium exposure.
暫停到期的 lithium 劑量並防止額外的 lithium 暴露。