[janfrn]

I've merged two virtually identical threads into one. I think my bedroom will find her answers here...

[CanNurse06]

In the ER where I work we give Phenytoin 1g in 250cc NS over 1hr with an in-line filter/IV pump as a loading dose.

[iluvivt]

Just wanted to add some info even though this thread is a tad old. Tpa can not reverse a precipitate Tpa will only work on occluded lines from blood or fibrin and if you precipitate with dilantin it is difficult to fix the line. Dilantin can be given IV push or in a mini bag depending upon the dosage and pt situation. If you hang it in a mini bag you must add a.22 micron filter as it can come out of solution over time and precipitate. If you give it push the max rate is 50 mg over a minute. I personally add several minutes to this as I too have seen cardiac problems..mostly bradycardia.....It is very important to make sure site is asymptomatic and we flush with 10 ml NS give the Dilantin then flush with another 10ml slow NS flush. On peripheral sites I like to give it push and watch the site at all times. Dilantin has a ph of 12 and thus is very alkaline so you can see that it can cause severe tissue damage if extravasated.

[topgungirl27]

I know this post is from Jan, but i just had this given to me for a seizure and I died itching...they said I had an allergic reaction...or is the itchting normal? I was dying with the scratching while the nurse was doing my EKG, I couldn't stand still for anything!!!