Phenytoin (Dilantin) Nursing Pharmacology Considerations

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What is the Generic Name for Dilantin?

phenytoin

What is the Trade Name for phenytoin?

Dilantin

What are the Indications of Phenytoin (Dilantin) Nursing Pharmacology Considerations?

tonic clonic seizures, arrhythmias, neuropathic pain

What are the Actions of Phenytoin (Dilantin) Nursing Pharmacology Considerations?

interferes with ion transport, shortens action potentials and decreases automaticity blocks sustained
high frequency repetitive firing of action potentials.

What is the Therapeutic Class of Phenytoin (Dilantin) Nursing Pharmacology Considerations?

antiarrhythmics, anticonvulsants

What is the Pharmacologic Class of Phenytoin (Dilantin) Nursing Pharmacology Considerations?

hydantoins

What are the Nursing Considerations of Phenytoin (Dilantin) Nursing Pharmacology Considerations?

monitor serum phenytoin levels
therapeutic levels 10-20 mcg/mL
use cautiously in all patients
can cause suicidal thoughts, ataxia, extrapyramidal symptoms, hypotension, tachycardia, arrhythmias, gingival hyperplasia, nausea, rash, drug induced hepatitis, agranulocytosis, Steven’s Johnson syndrome
concurrent administration of enteral feedings may decrease absorption
monitor for hypersensitivity
assess seizures
assess hemodynamics

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