Specifically, dilantin is approved to control the following. Nursing actions included on the care plan will include a. Route onset peak duration phenytoin itoyn po 224hr1wk. It may last a minute, or an hour, or a day, or a year, but eventually it will subside and something else will take its place. Most agencies require training to initiate iv therapy, but the care and preparation of equipment. Assess level of consciousness during and immediately after the seizure. It works by slowing down impulses in the brain that cause seizures.
That surrender, even the smallest act of giving up, stays with. Implementation, the fourth step in the nursing process, involves the execution of the nursing plan of care derived during the planning phase of the nursing process. See what others have said about dilantin, including the effectiveness, ease of use and side effects. Find information on digoxin lanoxin in daviss drug guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Dilantin, dilantin infatabs, dilantin kapseals, dilantin 125, phenytek generic name. Dilantin kapseals phenytoin sodium extendedrelease capsules, dilantin infatabs phenytoin chewable tablets and dilantin125 phenytoin oral suspension, or liquid. Dilantin phenytoin is a prescription medication used to treat certain types of seizures in people with epilepsy. Dilantin125, dilantin infatab, dilantin injection, dilantin kapseals. Route onset peak duration dexamethasone dexamethasone. Dilantin kapseals phenytoin sodium extendedrelease capsules, dilantin infatabs phenytoin chewable tablets and dilantin125 phenytoin oral suspension.
Dilantin is the injection form of phenytoin and has been known to yield the following side effects. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. It does not treat all types of seizures, and your doctor will determine if it is the right medicine for you. Beta blockers are an important set of drugs to know for the nclex. The nurse can administer the medication over 10 minutes as ordered 100150 mg phenytoin equivalent pe over 1 full minute. Phenytoin dilantin nursing pharmacology considerations. Patients receiving phenytoin dilantin assessment prior to administration. Dilantin infatabs phenytoin dose, indications, adverse. This 20item questionnaire for the nclex, includes topics about cardiovascular diseases and cancer.
Nursing process focus clients receiving bisphosphonates see table 47. However, not all epileptic seizures lead to convulsions, and not all convulsions are caused by epileptic seizures. The nclex select all that apply practice exam includes 20 multiple choice questions in 1 sections. Laboratory results indicate that the child is neutropenic, and the nurse prepares to implement protective. All questions and answers are given for reading and answering at your own pace. Sn instructed patient caregiver regarding medication dilantin. Dilantin should be discontinued if an alternative etiology for the signs or symptoms cannot be established. Certain medications including paroxetine, cimetidine, and carbamazepine may potentially cause drug interactions with phenytoin. Picmonic is research proven to increase your memory retention and test scores.
It involves completion of nursing activities to accomplish predetermined goals and to make progress toward achievement of specific outcomes. Dec 23, 2019 dilantin is the injection form of phenytoin and has been known to yield the following side effects. Phenytoin works by slowing down impulses in the brain that cause seizures. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease. Cbc, bun, creatinine, electrolytes, pt, ptt, liver enzymes, etc. Sn instructed patient caregiver that the side effects of this medication includes headache, nausea, vomiting, constipation, dizziness, drowsiness, insomnia and nervousness.
Dilantin side effects may occur regardless of your dosage levels or adherence to intake instructions. Concurrent ingestion of a highfiber meal may v absorption. A detailed nursing assessment of specific body systems relating to the presenting problem or other current concerns required. Dilantin phenytoin is an antiepileptic drug, also called an anticonvulsant. Dilantin infatabs oral, dilantin 125 oral, lorantoin oral all generic drug interactions for phenytoin oral lists will include brand and generic names.
The drug dose ordered is appropriate for the patients weight. Which of the following is true regarding self breast examination. Because there is approximately an 8% increase in drug content with the free acid form over that of the sodium salt, dosage adjustments and serum level monitoring may be necessary when switching from a product formulated with the free acid to a. A convulsion is a medical condition where body muscles contract and relax rapidly and repeatedly, resulting in an uncontrolled shaking of the body. Recent moh uae, dha and haad licensing exam questions if the patient had duodenum metastatic cancer to duodenum and pancreas and not affected to other body aprts. Dilantin, dilantin infatabs, dilantin kapseals, dilantin125, phenytek generic name. Call the doctor right away about any new or worse signs like depression. Administer digoxin 1 hour before or 2 hours after such a meal. Study 720 nursing study guide 2012 nursing flashcards from studyblue on studyblue. In the event of aspiration, increased gurgling and rales. Full text of winninghams critical thinking cases in. Special information if you are pregnant or breastfeeding if you are pregnant or plan to become pregnant, inform your doctor immediately. Learn phenytoin dilantin antiepileptics pharmacological nursing picmonic for nursing faster and easier with picmonics unforgettable images and stories. Explained that dilantin is an anticonvulsant and is used to control seizures.
Since we started in 2010, nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. What is the most important information i should know about phenytoin. Methylprednisone medrol, solumedrol antiasthmatics, antiinflammatories steroidal. Nursing staff should utilise their clinical judgement to determine which elements of a focussed assessment are pertinent for their patient. A patient with hypercalcemia is being cared for on the medical unit. Effective evaluation results primarily from the nurses accurate use of communication and observation skills. Po 1518 mgkg or 1 g loading dose, then 300 mgd in divided doses, may be gradually increased by 100 mgwk until seizures are controlled iv 1518 mgkg or 1 g loading dose, then 100 mg t. Nursing interventions classification nic labels are drawn from a standardized nursing language and serve as a general.
Piccs can easily occlude and may not be used with dilantin iv. Nclex select all that apply practice exam 2 20 questions. Poiv 1520 mgkg loading dose, then 5 mgkg or 250 mgm 2 in 23 divided doses. Class ib, such as lidocaine xylocaine, phenytoin dilantin.
Digoxin lanoxin daviss drug guide nursing central unbound. What should i discuss with my healthcare provider before taking phenytoin. Dilantin 125, dilantin infatab, dilantin injection, dilantin kapseals, phenytek classification. Sn instructed patient caregiver that the side effects of this medication includes headache, nausea, vomiting, constipation, dizziness, drowsiness, insomnia and nervousness, swelling of gums may also occur. This section provides information on the proper use of a number of products that contain phenytoin. Nursing process focus clients receiving bisphosphonates. Action limits seizure propagation by altering ion transport. Phenytoin dilantin, dilantin125 is an oral and injectable drug prescribed for the treatment of seizures. Class action suit against dilantin drug company am being tested for stevens johnson syndrome, due to taking dilantin for over 30 years for seizures. Because a convulsion is often a symptom of an epileptic seizure, the term convulsion is sometimes used as a synonym for seizure. Observe patient for peripheral edema, steady weight gain, rales crackles, or dyspnea.
The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Full text of winninghams critical thinking cases in nursing, fifth edition mariann harding see other formats. Dilantin phenytoin sodium injection, usp is a sterile solution of 50 mg phenytoin sodium per milliliter for intravenous or intramuscular administration. Dilantin, tocainide tonocard, and mexiletine mexitil. See more ideas about nursing notes, nursing study, nursing students. Antiarrhythmic properties as a result of shortening the action potential and decreasing automaticity. Monitor intake and output ratios and daily weights. A 36yearold patient with a history of seizures and medication compliance of phenytoin dilantin and carbamazepine tegretol is brought to the ed by the ms personnel for repetitive seizure activity that started 45 minutes prior to arrival.
Dilantin and other hydantoins are contraindicated in patients who have experienced phenytoin hypersensitivity see contraindications 4 and warnings and precautions 5. Nursing care plan is a set of actions from the nurses, they will implement care plan to resolve nursing problems which happened to the patient during treatment. As you have learned in nursing school, beta adrenergic blockers are drugs that help lower blood pressure, puls rate and cardiac output. Dilantin infatabs oral, dilantin125 oral, lorantoin oral all generic drug interactions for phenytoin oral lists will include brand and generic names. Take this medicine only as directed by your doctor. While working in the icu, you are assigned to care for a patient with a seizure disorder. Dilantin extended capsules and parenteral dilantin are formulated with the sodium salt of phenytoin. Over infusion of iv fluid to pneumonia patient what you will assessskin colour, nail. Obtain complete health history including allergies, developmental, neurological, pulmonary, cardiac, hematological, renal, biliary, and mental disorders including blood studies. Both verbal and nonverbal communication between the nurse and the client can yield important information about the accuracy of the goals and expected planned outcomes and the nursing interventions that have been executed for resolution of the clients problems.
Look up information on diseases, tests, and procedures. The related drug information index provides comprehensive access to all drug information related to a specific drug types of content include full prescribing information, drug summaries, full prescribing information continuing medication education full pi cme, medication guides, risk evaluation and mitigation strategies rems summaries, rems continuing medication education rems cme, and. Carvedilol coreg daviss drug guide nursing central. Sometimes, beta blockers are also used to treat migraine headaches an other vascular headaches. The nurses identified all of patients problem by accurate and comprehensive assessment. As a general dilantin side effect, the drug may cause an increase in your blood sugar levels. January 11, beta adrenergic blockers as you have learned in nursing school, beta adrenergic blockers are drugs that help lower blood pressure, puls rate and cardiac output. Master phenytoin dilantin with picmonic for nursing rn. Long term dilantin use permalink submitted by mary2730 on mon, 20111010 15. Iv fluid therapy is ordered by a physician or nurse practitioner.
These interactions may potentially affect the level of phenytoin in your blood, raise your risk of side effects, or decrease the effectiveness of some medicines. The risk may be higher in people who have had suicidal thoughts or actions in the past. Nursing study guide 2012 nursing instructor nursing at. These 39 questions will help you prepare for the 2019 nclexrn 17 examination. Phenytoin does not treat all types of seizures, and your doctor will determine if it is the right medicine for you.
Dilantin phenytoin side effects, images, uses, dosage. The questions are based on the categories that are included in the exam. The solution is in a vehicle containing 40% propylene glycol and 10% alcohol in water for injection, adjusted to ph 12 with sodium hydroxide. Master phenytoin dilantin with picmonic for nursing rn with picmonic, facts become pictures. Call the doctor right away if any suicidal thoughts or actions occur. Iv phenytoin and throughout period when peak serum phenytoin levels occur. His family states he recently was placed on corticosteroids for arthritis and was feeling better and exercising daily. On data collection, he has flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor.
What are the actions of phenytoin dilantin nursing pharmacology considerations. Apr 09, 2019 a client enters the emergency department confused, twitching, and having seizures. Weve taken what the science shows image mnemonics work but weve boosted the effectiveness by building and associating memorable characters, interesting audio stories, and builtin quizzing. Embed code if you would like this activity on your web page, copy the script below and paste it into your web page. Observe patient for peripheral edema, steady weight gain, rales crackles, or. May also be used to evaluate pacemaker function, antidysrhythmia drug effect, or effectiveness of cardiac rehabilitation.
For rapid effect, a larger initial loadingdigitalizing dose should be given in several divided doses over 1224 hr. Alcohol, quinidine, and warfarin may potentially cause drug interactions with phenytoin. This page on the emedtv web site explains what other drugs may cause phenytoin interactions and describes the possible risks of combining them with phenytoin. Fosphenytoin cerebyx does not have to be administered with normal saline or via a central line. Abnormal softening of the bones may occur in people taking dilantin because of dilantin s interference with vitamin d metabolism. Digoxin lanoxin daviss drug guide unbound medicine. Dilantin125, dilantin infatab, dilantin injection, dilantin kapseals, phenytek classification.
General anesthetics, iv phenytoin, diltiazem, and verapamil may cause. Nursing study guide 2012 nursing instructor nursing. Abnormal softening of the bones may occur in people taking dilantin because of dilantins interference with vitamin d metabolism. The nurse is preparing to administer a routine dose of. Dilantin phenytoin sodium patient information healthyplace. The creation of the plan is an intermediate stage of the nursing process. See more ideas about nursing school, nursing school notes, nursing study. Dilantin care plan nursing process focus patients receiving. Phenytoin is an antiepileptic drug, also called an anticonvulsant. Extended ecg tracing 24 hr to weeks may be desired to determine which dysrhythmias may be causing specific symptoms when patient is active homework or at rest. Learn everything you need to know about phenytoin dilantin and its nursing considerations incluing classification and common side effects. Welcome to the national council licensure examinationnclex rn exam 17. A 6yearold child with leukemia is hospitalized and is receiving combination chemotherapy. Which of these nursing actions will you implement first if the patient has a seizure.
Which level you will be assessed increased blood sugar level. Maintenance doses are determined for digoxin by renal function. Laboratory results indicate that the child is neutropenic, and the nurse prepares to implement protective isolation procedures. Dilantin phenytoin is a prescription medication used for treating certain types of seizures in people with epilepsy. Dilantin fda prescribing information, side effects and uses. In order to make safe and effective judgments using nandai nursing diagnoses.