Re: Dilantin/Phenytoin Question
Just finding this thread now (sorry, I know it was posted back in may)
With my hospital's IV pumps, we have the ability to run primary and piggyback infusions at the same time. Therefore, with dilantin, we make sure we have a decent IV (20 ga or larger, or central line), draw up the med in a syringe, and attach it to the "piggyback" port on our IV tubing cassette, which we run concurrent with our primary IV fluid (NS). We run it slowly, like a prev post said, at about 50mg/min., and keep an eye on the EKG monitor. Also, we have a dedicated set of IV tubing/NS that we put in/out of the pump whenever the dilantin has to be given, so that any other piggybacks don't conflict with residual dilantin that may be left in the tubing.
Hope this helps
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