NAME OF ACTION DOSAG ADVERSE INDICATIONS CONTRAINDICA NURSING

DRUG E REACTIONS TIONS RESPONSIBILITIES

Generic 100mg CNS: nystagmus, > Treatment > > Assess oral hygiene.
Name: Limit seizure TID ataxia, diplopia, and prevention Contraindicated Vigorous cleaning
Phenytoin propagation drowsiness, of tonic-clonic in patients with beginning within
by altering lethargy, coma, (grand mal) hypersensitivity 10days of initiation of
Brand ion transport. dizziness, seizures and to drug; Sinus phenytoin therapy
Name: May also headache, complex bradycardia and may help control
Dilantin decrease nervousness, partial heart block. gingival hyperplasia.
synaptic dyskinesia seizures.
Classificati transmission. > Seizures: Assess
on: Therapeutic CV: hypotension location, duration,
Anticonvu effect: frequency, and
lsant Diminished EENT: gingival characteristics of
seizure hyperplasia seizure activity. EEG
activity and may be monitored
decreased RESP: respiratory periodically
pain. depression throughout therapy.

DERM: > General: Implement

hypertrichosis, seizure precautions
rashes, exfoliative
dermatitis >When transferring
from phenytoin to
GI: nausea, another
vomiting, anticonvulsant,dosage
anorexia, weight adjustments are made
loss, constipation, gradually over several
hepatitis weeks.

GU: pink, red, >Assess fluid intake

reddish-brown and bowel function.
discoloration of Increased bulk and
urine fluids in the diet help
minimize the
HEMAT: aplastic constipating effects of
anemia, this medication.
agranulocytosis,
leucopenia, > Administer with
thrombocytopenia food or full glass of
, megaloblastic water or milk to
anemia minimize GI irritation.

MISC: > Advise patient to

lymphadenopathy take medication
, fever, allergic exactly as directed
reactions and not to skip doses
including or double up on
Stevens-Johnson missed doses. If a
Syndrome dose is missed, take
within 1 hr or skip
MS: osteomalacia dose and return to
regular schedule.
F and E: Abrupt withdrawal
hypocalcemia may lead to gastritis,
nausea, vomiting,
dizziness, headache,
tachycardia, and
insomnia.

> Phenytoin may

cause drowsiness or
dizziness. Caution
patient to avoid other
activities requiring
alertness until
response to
medication is known.

> Instruct patient to

use frequent mouth
rinses, good oral
hygiene, and
sugarless gum or
candy to minimize dry
mouth.