What are nursing implications for phenytoin?

NURSING CONSIDERATIONS – Doses should be adjusted carefully, starting with low doses and increasing gradually until seizures are controlled or there are overdose effects. – Leukopenia that is severe, progressive or associated with clinical symptoms requires withdrawal.

Which of the following is a nursing responsibility after administration of barbiturates?

Nursing care for a patient on barbiturate therapy is an exciting challenge. It is the nurse’s responsibility to continuously assess the patient’s pressure readings, laboratory values, fluid balance, and pulmonary status to accurately interpret his clinical status.

What precautions would you take for a patient on phenytoin?

Check with your doctor right away if you have chest pain, dizziness, or tiredness. This medicine may cause liver damage. Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin.

What can I teach about Dilantin?

Take Dilantin exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Swallow an extended-release capsule whole and do not crush, chew, break, or open it.

What is an important nursing consideration when administering IV phenytoin Dilantin?

Nursing Considerations Across the Lifespan Careful cardiac monitoring is needed during and after administering intravenous phenytoin. Phenytoin has a narrow therapeutic drug level, usually between 10-20 mcg/ml, so serum drug monitoring is required.

What are the adverse effects of phenytoin and what does the nurse need to monitor for?

Headache, nausea, vomiting, constipation, dizziness, feeling of spinning, drowsiness, trouble sleeping, or nervousness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Phenytoin may cause swelling and bleeding of the gums.

What are the nurse’s roles in administering anxiolytics?

These are vital nursing interventions done in patients who are taking anxiolytic-hypnotics:

  • Administer intravenous diuretics slowly to prevent severe changes in fluid and electrolytes.
  • Do not mix intravenous drugs in solution with any other drugs to avoid potential drug-drug interactions.

What are nursing considerations for phenobarbital?

Monitor daytime drowsiness and “hangover” symptoms (headache, nausea, irritability, dysphoria, lethargy, vertigo). Repeated or excessive symptoms may require change in dose or medication. Be alert for depression, delirium, excitation, or other alterations in mood or behavior.

What precautions are necessary when administering phenytoin by intravenous infusion?

For administration by intravenous infusion phenytoin injection should be diluted in 50 – 100 ml of normal saline, and the final concentration of phenytoin in the solution should not exceed 10 mg/ml, the infusion mixture should not be refrigerated.

What are the handling requirements administering IV phenytoin?

Phenytoin Sodium must be diluted with a NS 0.9% solute at a concentration of 1 to 10 mg/ml in a large vein. The rate of administration must not exceed 50 mg/min for 25 mg/min for elderly persons, and 1 – 3 mg/kg/min for newborns. Finish the infusion within 30 minutes (maximum dosage of 1,500 mg / 24 hours).

What does Dilantin interact with?

DILANTIN can cause overgrowth of your gums….Drugs Affected By Phenytoin.

Interacting Agent Examples
Other Corticosteroids, doxycycline, estrogens, furosemide, oral contraceptives, paroxetine, quinidine, rifampin, sertraline, theophylline, and vitamin D
Drugs whose level is decreased by phenytoin