How do you administer Dilantin IV?
How do you administer Dilantin IV?
Because of the risk of local toxicity, intravenous phenytoin should be injected slowly directly into a large vein through a large-gauge needle or intravenous catheter.
What are nursing implications for phenytoin?
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.
How do you give phenytoin infusion?
In adults, a loading dose of 10 to 15 mg/kg should be administered slowly intravenously, at a rate not exceeding 50 mg per minute (this will require approximately 20 minutes in a 70-kg patient). The loading dose should be followed by maintenance doses of 100 mg orally or intravenously every 6-8 hours.
What should you do before administering phenytoin?
Before taking phenytoin,
- tell your doctor and pharmacist if you are allergic to phenytoin, other hydantoin medications such as ethotoin (Peganone) or fosphenytoin (Cerebyx), any other medications, or any of the ingredients in phenytoin.
- tell your doctor if you are taking delavirdine (Rescriptor).
Does IV Dilantin need filter?
Because the infusion has to be done slowly, it is possible that the solution may precipitate. A filter of 0.2 micron must be used then to prevent precipitates that may form, from being injected into the blood circulation.
How long does IV phenytoin stay in your system?
The plasma half-life in man after oral administration of phenytoin averages 22 hours, with a range of 7 to 42 hours. Steady-state therapeutic levels are achieved at least 7 to 10 days (5–7 half- lives) after initiation of therapy with recommended doses of 300 mg/day.
Can phenytoin be given IV push?
Available drug information confirmed that a nurse may administer phenytoin by IV push in the critical care setting.
What is phenytoin used to treat?
Phenytoin is a medicine used to treat epilepsy. It can also be used to treat trigeminal neuralgia, a type of nerve pain that affects your face. Phenytoin is available on prescription. It comes as tablets that can be chewed or dissolved in water, capsules and a liquid that you swallow.
Can you give phenytoin IV push?
When do you give phenytoin?
Phenytoin typical doses are 3–5mg/kg/day. The first dose should be given 12–24 hours after the loading dose. Oral or nasogastric administration should be used, whenever possible. Only use intravenous administration when these options are not feasible and where cardiac monitoring is available.
Can phenytoin be given once daily?
It is concluded that the total daily dose of phenytoin sodium may be given once daily without reduction of the anticonvulsant effect.
How often can you take Dilantin in IV?
Guidelines for Use of Phenytoin (Dilantin. ®. ) Recommended Neonatal Dose, Route, and Interval Loading Dose: 15-20mg/kg IV infusion over at least 30 minutes Maintenance: 4-8mg/kg/day IV slow push, or PO divided every 8-12 hours.
What are the nursing considerations of phenytoin ( Dilantin )?
What are the Nursing Considerations of Phenytoin (Dilantin) Nursing Pharmacology Considerations? can cause suicidal thoughts, ataxia, extrapyramidal symptoms, hypotension, tachycardia, arrhythmias, gingival hyperplasia, nausea, rash, drug induced hepatitis, agranulocytosis, Steven’s Johnson syndrome NURSING.com is the best place to learn nursing.
What are the risks of rapid infusions of Dilantin?
Black Box Warnings. Cardiovascular risk associated with rapid infusion rates. Risk of hypotension and arrhythmias with infusion rates that exceed 50 mg/min in adults and 1-3 mg/kg/min (or 50 mg/min, whichever is slower) for pediatric patients.
Can you give Dilantin through a saline well?
He had D51/2NS going through his IV, and since Dilantin isn’t compatible, I had to stop the IV and give the Dilantin through his saline well. I’m still a new grad in training, so I asked my preceptor how to administer it (I knew there were precautions, but not sure what) and she told me to just push it slow (150mg over three minutes).
