Do you monitor EKG, BR & HR when patients are being administered IV phenytoin?
Continuous cardiac monitoring (rate, rhythm, BP) and observation during IV phenytoin administration and BP and pulse monitoring every 15 minutes for 1 hour after administration is recommended. Risk of cardiovascular toxicity increases with infusion rates above the recommended infusion rate of 50mg/min, these events have also been reported at or below the recommended infusion rate.