After initial maintenance dose, subsequent doses should be individualized to achieve therapeutic Recommended rate for most adults: 40-50 mg/min
The rate of intravenous Dilantin administration should not exceed 50 mg per minute in adults and 1-3 mg/kg/min (or 50 mg per minute, whichever is slower) in pediatric patients
Bhullar I, Johnson D, Paul J, Kerwin A, Tepas J, Frykberg E
These loading doses may be given on initiation of therapy, or in
In adults, if seizure control is established with divided doses of three 100-mg DILANTIN (extended phenytoin sodium capsules, USP) daily, once-a-day dosage with
Had a quadruple
Bivalirudin in Acute Myocardial Infarction Bivalirudin vs Heparin During Primary Percutaneous Coronary Intervention in Acute Myocardial Infarction: A Randomised Controlled Trial
Tonic-clonic seizures , Focal seizures, Prevention and treatment of seizures during or following neurosurgery or severe head injury
Phenytoin is used to control seizures
The health care provider has ordered a loading dose of 15 mg/kg IV to be given at a rate of 40 mg/min
3
Only use intravenous administration when these options are not feasible and where cardiac monitoring is available
How soon can the nurse administer a second dose of diazepam, if needed and prescribed? a
physcian order: gentamicin 200mg ivpb every 6 hours
However, with its narrow therapeutic index and its pervasive daily use
HIGH ALERT push over 10 minutes or IVPB as directed
Chlorpromazine (Thorazine) IVPB IVPB IVPB IVPB Check blood pressure and pulse before and 15 minutes after
The nurse must not administer I
“aware” if you maintain consciousness
Dilantin (phenytoin) is used to treat epilepsy
Phenytoin (Dilantin) can slow your heart rate and sometimes cause your heart to stop working (cardiac arrest)
Clinical seizure cessation after infusion was obtained by 26 of 41 patients in the valproate group (68