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Dilantin
NCLEX Review
| Question | Answer |
|---|---|
| Dilantin | Anticonvulsant |
| Indication | Treatment and prevention of tonic clonic seizures |
| Action | Limit seizure propagation by altering ion transport |
| Adverse reactions | ataxia, agitation, coma, dizziness, drowsiness, diplopia, nystagmus, hypotension, gingival hyperplasia, nausea, rashes |
| Folic acid | May decrease absorption of folic acid |
| PO | Give with or after meals to minimize GI irritation |
| Pt teaching | May cause drowsiness, dizziness. Notify provider if rash, slurred speak, yellow eyes, joint pain, fever, occurs |
| Therapeutic blood levels | 10 to 20 mcg/mL |
| Signs of toxicity | nystagmus, ataxia, confusion, nausea, slurred speech, dizziness |