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phenytoin HIGH ALERT

Anticonvulsant
What it's for

Seizures

Nursing considerations
  • Toxicity ladder: nystagmus → ataxia → confusion
  • Tube feeds bind it — hold feeds around PO doses per policy
  • Level 10-20; correct for low albumin
  • Gum care — hyperplasia
Key side effects
Ataxia (toxicity)Gingival hyperplasiaRash (stop if severe)
📈 Watch

Level, gait, gums

Source: Generic names only, per NCSBN convention. Primary sources: Lehne's Pharmacology for Nursing Care, 11th ed.; Davis's Drug Guide for Nurses. Educational reference — verify every medication decision against your facility's formulary, pharmacy, and the prescriber. Doses shown are typical adult references, not recommendations.Reference only — verify against your facility's policy.

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