The physician has ordered intravenous phenytoin (Dilantin). The client is also receiving 5% dextrose in water (D5W) intravenously (IV). What will the nurse plan to do before administering this medication? Select all that apply.

Question

Quizplus · Accepted Answer

A) Stevens-Johnson Syndrome is a potential adverse effect of phenytoin but it is not necessary to monitor for it before administering the medication.
B) Phenytoin must be given through an IV line with a filter to prevent the infusion of any particulate matter that can cause tissue damage, thrombophlebitis or emboli.
C) Before administering the medication, it is essential to flush the IV line with saline to prevent the medication from precipitating in the tubing or syringe.
D) Phenytoin can cause local tissue damage and extravasation when given through a small or fragile vein. Therefore, it is important to use a large vein for the infusion to avoid severe local tissue damage.
E) Hypertension is not a known adverse effect of phenytoin, and it is not necessary to monitor for it before administering the medication.

The Physician Has Ordered Intravenous Phenytoin (Dilantin)