What is important patient teaching for a patient receiving Dilantin?
What is important patient teaching for a patient receiving Dilantin?
Use the medicine exactly as directed. Swallow an extended-release capsule whole and do not crush, chew, break, or open it. Phenytoin chewable tablets are not for once-per-day dosing. You must take them 2 or 3 times per day.
What teaching should the patient receive regarding self care and adverse effects of phenytoin Dilantin )?
Phenytoin may help control your condition but will not cure it. Continue to take phenytoin even if you feel well. Do not stop taking phenytoin without talking to your doctor, even if you experience side effects such as unusual changes in behavior or mood. If you suddenly stop taking phenytoin, your seizures may worsen.
What should be monitored when giving Dilantin?
Careful cardiac monitoring is needed during and after administering intravenous DILANTIN. Although the risk of cardiovascular toxicity increases with infusion rates above the recommended infusion rate, these events have also been reported at or below the recommended infusion rate.
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 problems. 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 should the nurse include as a possible adverse effect when teaching a client about phenytoin?
– Nausea, vomiting. – Mental confusion. – Dizziness, headache.
What is Dilantin toxicity?
What is Dilantin toxicity? Dilantin, or phenytoin, toxicity happens when you have high levels of Dilantin in your body that become harmful. Dilantin is a medicine that is used to prevent and treat seizures. Dilantin toxicity can lead to a coma.
What is an important nursing consideration when administering IV phenytoin Dilantin?
Continually monitor patient’s cardiac rhythm and check BP frequently and regularly during IV infusion. Suggest use of fosphenytoin sodium if IV route is needed. Monitor injection sites carefully; drug solutions are very alkaline and irritating. WARNING: Monitor for therapeutic serum levels of 10–20 mcg/mL.
What are nursing implications for phenytoin?
Nursing Considerations Across the Lifespan Phenytoin has a narrow therapeutic drug level, usually between 10-20 mcg/ml, so serum drug monitoring is required. Serum levels of phenytoin sustained above the therapeutic range may produce confusional states referred to as delirium, psychosis, or encephalopathy.
What are some factors that may cause a patient to experience phenytoin toxicity?
The risk factors associated with toxicity are acute overdose, toxicity from dose changes or drug error, altered physiology such as in renal failure/cirrhosis, drug-drug/drug-disease interactions, and unintentional ingestion of phenytoin such as from cocaine adulterated with phenytoin [2].
What nursing interventions are necessary when administering 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.
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 last or get worse, tell your doctor or pharmacist promptly. Phenytoin may cause swelling and bleeding of the gums.
What are symptoms of Dilantin toxicity?
Symptoms
- Coma.
- Confusion.
- Staggering gait or walk (early sign)
- Unsteadiness, uncoordinated movements (early sign)
- Involuntary, jerky, repeated movement of the eyeballs called nystagmus (early sign)
- Seizures.
- Tremor (uncontrollable, repeated shaking of the arms or legs)
- Sleepiness.