Monitoring patients when administering IV phenytoin

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Niloofar Alikashani
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Joined: 12/17/2014 - 17:11
Monitoring patients when administering IV phenytoin

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.