This video is about Phenytoin (Dilantin)
Hi men made easy here phenytoin is the topic of our video today infinite is also known as dilantin it is an anticonvulsant which basically what that means is it helps to prevent seizures so let’s get right into that clicks tips that you came here for tip number one frequent dental visits and good oral hygiene is so important to prevent gingival hyperplasia or
Basically the overgrowth and enlargement of the gum tissue this can start to develop in one to three months after starting this medication and a lot of times you may see some kind of test question that involves what kind of specialist you may need to see appointments for the dentist may need to be every three months or more frequent depending on you and your
Dentist tip number two therapeutic levels of phenytoin dilantin is 10 to 20 this is important to know because you need to know if it’s too low then you can actually the medicine will work and if it’s too high in m toxicity and here are some of the signs and symptoms of that tip number three cbc count should be monitored closely it should actually be monitored every
Six months phenytoin can cause decreases in platelets red blood cells white blood cells and granulocyte county if an individual on phenytoin develops agranulocytosis this can be life-threatening and we may rapidly cause the patient to decline signs of senta’s watch for our sudden fear and sore throat tip number four watch for skin rash if a rash develops this drug
Should be discontinued steven johnson syndrome can actually happen any time while on this drug the rash may be painful and the skin may actually start to blister and peel and it can lead to things like dehydration sepsis and even organ failure it is considered a medical emergency and should be addressed immediately tip number five acute alcohol use increases served
Phenytoin levels making toxicity more likely to happen something interesting to note is that navaho use may actually decrease phenytoin levels making phenytoin less likely to work what this means is that this individual is more likely to have a seizure the key here is education patient teaching making sure that the patient knows not to drink while taking phenytoin
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Transcribed from video
NCLEX Topic: Phenytoin: Need to know info on this med in 3 minutes By Med Made EZ
