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Because antipsychotics can cause or exacerbate hyponatremia and SIADH, particularly in the elderly, sodium levels should be closely monitored when starting or changing dosages of antipsychotics in older adults. To initiate antipsychotic therapy, the patient must either be a danger to self or others or have symptoms due to mania or psychosis, and the plan of care should document attempted behavioral interventions except in an emergency.


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