Also used to prevent or treat seizures occurring during or after neurosurgery. I had seen the cleaning woman several times, but how would I know her name? Prev Article Next Article . Genetic Implication. Impaired liver or kidney function; alcoholism; blood dyscrasias; hypotension, heart block, bradycardia, severe myocardial Many nurses are playing now! Rash usually occurs within the first 2 wk of therapy. Action. insufficiency, impending or frank heart failure; older adult, debilitated, gravely ill patients; pancreatic adenoma; diabetes CAPITALS indicate life-threatening, underlines indicate most frequent. (tic douloureux). Pharmacologic Class. In abnormal tissue causes slight increase in AV conduction velocity depressed by digitalis glycoside; Therapeutic Class. Strikethrough Discontinued. Report these signs immediately because this syndrome may lead … Phenytoin: A Guide to Therapeutic Drug Monitoring Melissa Faye Wu, BSc (Pharm) (Hons), Wai Hing Lim, B.Pharm (Hons), M Clin Pharm Department of Pharmacy, Singapore General Hospital, Singapore AbsTr AcT Therapeutic drug monitoring of phenytoin is carried out to ensure effective and safe levels. Trade Name. phenytoin. properties similar to those of lidocaine and tocainide (also class IB agents). block in abnormal ventricular fibers. tonic clonic seizures, arrhythmias, neuropathic pain. use is accompanied by reduced voltage, frequency, and spread of electrical discharges within the motor cortex. "In your careers, you will meet many people. To control tonic-clonic (grand mal) seizures, psychomotor and nonepileptic seizures (e.g., Reye's syndrome, after head trauma). Our hottest nursing game is out now in the App Store. 100 mg prompt release capsule; 30 mg, 100 mg sustained release capsule; 50 mg chewable tablet; 125 mg/5 mL suspension; 50 mg/mL injectionHydantoin derivative chemically related to phenobarbital. Antiarrhythmic agent (phenytoin IV) especially in treatment of digitalis-induced arrhythmias; treatment of trigeminal neuralgia Class IB antiarrhythmic Hypersensitivity to hydantoin products; rash; seizures due to hypoglycemia; sinus bradycardia, complete or incomplete heart Precise mechanism of anticonvulsant action is not known, but drug Inhibits seizure activity. Generic Name: phenytoin (diphenylhydantoin, phenytoin sodium) Brand Name: Dilantin-125, Dilantin Infatab, Dilantin Injection, Dilantin Kapseals, Phenytek Classification: Antiepileptic, Antiarrhythmic, group 1b, Hydantoin Pregnancy Category D . Hypersensitivity syndrome usually occurs at 3–8 wk but may occur up to 12 wk after initiation of therapy. Is not effective for absence seizures. All are significant. Some of the factors complicating phenytoin dosing include a narrow … block; Adams-Stokes syndrome; pregnancy (category D), lactation. 100 mg prompt release capsule; 30 mg, 100 mg sustained release capsule; 50 mg chewable tablet; 125 mg/5 mL suspension; 50 mg/mL injection prolongs effective refractory period, suppresses ventricular pacemaker automaticity, and may slow conduction or cause complete Surely this was a joke. Has class IB antiarrhythmic properties. Dilantin. I also learned her name was Dorothy.Announcement!! Drug Name. I handed in my paper, leaving the last question blank. Before the class ended, one student asked if the last question would count toward our grade. They deserve your attention and care, even if all you do is smile and say hello." bullous, exfoliative, or purpuric dermatitis; Stevens-Johnson syndrome, toxic epidermal necrolysis interferes with ion transport, shortens action potentials and decreases automaticity blocks sustained high frequency repetitive firing of action potentials. mellitus, hyperglycemia; respiratory depression; acute intermittent porphyria. 1 phenytoin (fen-i-toyn) Dilantin,Phenytek, Tremytoine Classification Therapeutic:antiarrhythmics(groupIB),anticonvulsants Pharmacologic:hydantoins PregnancyCategoryD Indications Treatment/prevention of tonic-clonic (grand mal) seizures … Dosage & Route. I breezed through the questions until I read the last one: "What is the first name of the woman who cleans the school?" antiarrhythmics, anticonvulsants. "Absolutely," the professor said. hydantoins. PHYSICAL THERAPY IMPLICATIONS + + Examination and Evaluation + + Be alert for phenytoin hypersensitivity syndrome (fever, skin rash, lymphadenopathy). I've never forgotten that lesson. During my second year of nursing school our professor gave us a quiz. phenytoin Nursing Considerations & Management. Indication. Available forms …