When giving intravenous IV phenytoin Which of the following methods should you use?
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What Is Phenytoin and How Does It Work?Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). It works by reducing the spread of seizure activity in the brain.
What Are Dosages of Phenytoin?Dosages of Phenytoin: Dosage Forms and Strengths Capsule, immediate-release
Capsule, extended-release
Tablet, chewable
Oral suspension
Injectable solution
Dosage Considerations – Should be Given as Follows:Seizures Status epilepticus
Anticonvulsant, Adult Tablet
Suspension
Extended-release
Anticonvulsant, Children and AdolescentsImmediate release
Extended-release
Control of Tonic-Clonic and Complex Partial Seizures, PediatricInitial dosage
Neonates (less than 28 days)
Age-based maintenance dose
Dosing Considerations
QUESTIONIf you have had a seizure, it means you have epilepsy. See AnswerWhat Are Side Effects Associated with Using Phenytoin?Common side effects of Phenytoin include:
IV greater than 50 mg/min
Rare side effects of phenytoin reported include:
Postmarketing side effects of phenytoin reported include:
This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects. What Other Drugs Interact with Phenytoin?If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider, or pharmacist first.
This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Check with your physician if you have health questions or concerns. What Are Warnings and Precautions for Phenytoin?WarningsCardiovascular risk associated with rapid infusion rates:
This medication contains phenytoin. Do not take Dilantin, Dilantin 125, or Phenytek if you are allergic to phenytoin or any ingredients contained in this drug. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately. Contraindications
Effects of Drug Abuse
Short-Term Effects
Long-Term Effects
Cautions
Risk of gingival hyperplasia.
Pregnancy and Lactation
SLIDESHOWWhat Is Epilepsy? Symptoms, Causes, and Treatments See SlideshowFromReferences SOURCE: When giving phenytoin Dilantin intravenously IV which method should be used?The drug should be injected slowly intravenously at a rate not exceeding 1 3 mg/kg/min or 50 mg per minute, whichever is slower. Parenteral Dilantin is indicated for the control of generalized tonic-clonic status epilepticus, and prevention and treatment of seizures occurring during neurosurgery.
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 adults, 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).
Can you push IV phenytoin?Available drug information confirmed that a nurse may administer phenytoin by IV push in the critical care setting.
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