Pediatric patient with seizures

We are probably going to admit a 10 year old ,with a brain tumor, to Hospice. At present she is hospitalized, sent in for intractable seizures. Have any of you had experience with IV Dilantin in the home setting? Our concern is titrating the dose to control seizure activity. We have considered Phenobarbital suppositories, but I'm wondering about over sedation, and compromising the respiratory system.

Our doctor has requested the admit to be held until Monday, better arrangements can be made during the regular work week. I'm hoping to get some feed-back for his consideration before then.

Thank you...this site has helped me so much!

seasonedlpn