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Dosage,

Route,
Name of Mechanism of Adverse Special
Frequency Indication Nursing Responsibilities
Drug Action Reactions Precautions
and
Timing

Generic: Dosage: Phenytoin, a Phenytoin is Significant: Bone Patients with history Observe 10 rights of drug
hydantoin indicated to treat effects, vitamin D of adverse administration.
Phenytoin 100 antiepileptic, grand mal seizures, deficiency, hematologic reaction
mg/capsule stabilizes neuronal complex partial Inform patient that this drug
Brand: hypocalcemia, to any drug
membranes and seizures, and to may cause dizziness and
Route: decreases seizure prevent and treat hypophosphatemia,
Dilantin Diabetes mellitus, drowsiness, so avoid driving
activity by increasing seizures during or acute
PO hypotension, cardiac or operating heavy
the influx or following hepatotoxicity,
disease, conditions machinery.
Frequency: decreasing influx of neurosurgery. hypersensitivity
Na ions across cell associated with low
Monitor CBC, LFT, vitamin D
1 tab BID membranes in the Immune system serum albumin levels
status, plasma phenytoin
motor cortex during disorders:
Timing: generation of nerve Patients who are concentrations and signs of
Anaphylactoid
impulses. positive for HLA- suicidal ideation.
reactions,
8 am, 6 pm B*15:02 allele
anaphylaxis Monitor injection sites
Not indicated for the carefully; drug solutions are
Musculoskeletal very alkaline and irritating.
treatment of
disorders: Purple
absence seizures
glove syndrome Advise patient not to
Avoid abrupt discontinue this drug
Potentially life- abruptly or change dosage,
MIMS Philippines withdrawal
threatening: blood except on the advice of your
(2019)
dyscrasias, health care provider.
multiorgan
sensitivity Encourage good oral
hygiene (regular brushing
reactions, toxic
and flossing) to prevent gum
epidermal disease; arrange frequent
necrolysis dental checkups to prevent
serious gum disease.
Classificati Contraindications Side Effects
on

Functional: History of acute Headache, nausea,


hepatotoxicity dizziness,
Anticonvulsa attributable to constipation,
nts phenytoin
feeling of spinning,
Chemical: nervousness

phenytoin
5,5-
DIPHENYLHY
DANTOIN
57-41-0

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