dilantin.docx

Hydantoin Review Nursing Process pg. 223 & Prototype pg. 221 Inhibit sodium influx, stabilize cell membranes, reduce repetitive neuronal firing, and limit seizures. CNS Depression phenytoin Used to treat tonic-clonic seizures, and partial seizures Thrombocytopenia Leukopenia Liver/Renal impairme...

Hydantoin Review Nursing Process pg. 223 & Prototype pg. 221 Inhibit sodium influx, stabilize cell membranes, reduce repetitive neuronal firing, and limit seizures. CNS Depression phenytoin Used to treat tonic-clonic seizures, and partial seizures Thrombocytopenia Leukopenia Liver/Renal impairment Hyperglycemia Stevens-Johnson Syndrome BP/HR Changes Dizziness Drowsiness Gingival hyperplasia Headaches GI Upset Urine Discoloration Tinnitus Suicidal Ideation Ataxia Fatigue Monitor for Toxicity: Monitor Serum values & CBC; Signs of toxicity: Increased sedation; Nystagmus; Tremors; Vision Changes; Safety; Available IV. Cautions: Patients with thyroid disease, Diabetes; cardiac disease; renal and liver disease. Pregnancy/Breastfeeding Patient Teaching: Diligent oral hygiene (soft bristle toothbrush) and routine dental f/u. Do not discontinue abruptly. Diabetics – need to monitor BG readings. Report mood and behavior changes. Do not drive. Avoid ETOH or other CHS depressants. Monitor for bleeding and bruising – bleeding prevention. Pregnancy prevention. Monitor and report changes in BP and HR. Report changes in skin. Take as directed at the same time daily. Medical Alert Bracelet. Plan for travel to ensure you have enough medication. Anticipate lab monitoring, routine appointments and vitamin supplementation. s/s of toxicity. s/s of infection and infection prevention.