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  • Drug Dilantin

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    This document provides information on the medication phenytoin (Dilantin) including its classification, dose, route, time/frequency of administration, pharmacokinetics, mechanism of action, indications, nursing implications, interactions, lab alterations, patient teaching points, and pre-administration assessment. Phenytoin is an antiarrhythmic and anticonvulsant prescribed for tic disorder. Nurses should monitor for signs of hypersensitivity, bradycardia, drug interactions that may increase phenytoin levels, and side effects involving the CNS, GI, dermatologic, and hematologic systems. The goal is to decrease signs of tic disorder while maintaining therapeutic drug levels through administration and ongoing assessment.

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    This document provides information on the medication phenytoin (Dilantin) including its classification, dose, route, time/frequency of administration, pharmacokinetics, mechanism of action, indications, nursing implications, interactions, lab alterations, patient teaching points, and pre-administration assessment. Phenytoin is an antiarrhythmic and anticonvulsant prescribed for tic disorder. Nurses should monitor for signs of hypersensitivity, bradycardia, drug interactions that may increase phenytoin levels, and side effects involving the CNS, GI, dermatologic, and hematologic systems. The goal is to decrease signs of tic disorder while maintaining therapeutic drug levels through administration and ongoing assessment.

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    Attribution Non-Commercial (BY-NC)
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    Signaler comme contenu inapproprié
    306 vues1 page

    Drug Dilantin

    Transféré par

    Srkocher
    This document provides information on the medication phenytoin (Dilantin) including its classification, dose, route, time/frequency of administration, pharmacokinetics, mechanism of action, indications, nursing implications, interactions, lab alterations, patient teaching points, and pre-administration assessment. Phenytoin is an antiarrhythmic and anticonvulsant prescribed for tic disorder. Nurses should monitor for signs of hypersensitivity, bradycardia, drug interactions that may increase phenytoin levels, and side effects involving the CNS, GI, dermatologic, and hematologic systems. The goal is to decrease signs of tic disorder while maintaining therapeutic drug levels through administration and ongoing assessment.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    NURS 1556 Clinical Medication Worksheet Karen Nielsen

    Generic Trade Name Classification Dose Route Time/frequency


    Name Antiarrhythmic
    Phenytoin Dilantin (group IB), 100 mg PO QD
    anticonvulsant
    Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
    1.5-3 hr 2-24 hr 6-12 hr N/A but of note: use of IV phenytoin in geriatric pt may
    increase risk of serious adverse effects.
    Mechanism of action and indications: Nursing Implications (what to focus on)
    (Why med ordered) Contraindications/warnings/interactions-Hypersensitivity;
    Sinus bradycardia, SA node block, 2nd or 3rd degree heart
    Rx limits seizure propagation by altering ion transport, block. Caution in pt with severe cardiac or respiratory
    may also decrease synaptic transmission. disease. Interacts with alcohol, gabapentin, omeprazole,
    (may increase phenytoin drug levels). Antidepressants may
    For Tic disorder. cause additive CNS depression.
    Common side effects: CNS: ataxia, agitation, confusion,
    drowsiness, dizziness, dysarthria, dyskinesia, extra
    pyramidal syndrome, H/A, insomnia, weakness.EENT:
    diplopia, nystagmus. CV: hypotension, tachycardia. GI:
    gingival hyperplasia, N/V, constipation, drug-induced
    hepatitis. Derm: hypertrichosis, rash, pruritis.
    Hemat: Agranulocytosis, aplastic anemia, leukopenia,
    megaloblastic anemia, thrombocytopenia. MS:
    osteomalacia. Misc: allergic reactions including Stevens-
    Johnson syndrome, fever, lymphadenopathy.
    Interactions with other patient drugs, OTC or Lab value alterations caused by medicine:May increase
    herbal medicines (ask patient specifically): serum alkaline phosphatase, GGT, and glucose levels.
    Monitor serum folate concentrations periodically during
    Gabapentin and omeprazole may increase drug levels. prolonged therapy.
    The SSRI Zoloft may cause additive CNS depression
    effects. Be sure to teach the patient the following about this
    medication: Take with meals or right after to minimize GI
    irritation. Chewable tablets must be crushed or chewed
    well before swallowing. Take same time each day. May
    cause drowsiness or dizziness. Maintain good oral hygiene.

    Nursing Process- Assessment Assessment Evaluation


    (Pre-administration assessment) Why would you hold or not give this Check after giving:
    med?
    Assess for phenytoin hypersensitivity Decrease in Tic disorder.
    syndrome, (fever, skin rash, Signs of hypersensitivity, or Monitor serum phenytoin
    lymphadenopathy). Vital signs. abnormally low heart rate, <50. levels routinely. Therapeutic
    blood levels ( 10-20
    mcg/ml).

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