A patient is taking phenytoin to prevent seizures. The nurse knows that phenytoin is highly protein-bound and has sedating effects. The nurse reviews the patient's chart and notes a low serum albumin. The nurse will notify the provider and observe the patient for which effects?

Question

Quizplus · Accepted Answer

Phenytoin is highly protein-bound, which means that a decrease in serum albumin can result in increased free drug levels in the blood, increasing the risk of toxicity and sedation. Therefore, the nurse will notify the provider and observe the patient for increased sedative effects.

A Patient Is Taking Phenytoin to Prevent Seizures