The healthcare provider has prescribed intravenous phenytoin (Dilantin) IV piggyback. The client is currently receiving 5% dextrose in water (D5W) intravenously (IV). Which action should the nurse take? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Question

Quizplus · Accepted Answer

Phenytoin is incompatible with D5W and needs to be administered in a separate IV line with normal saline. Using an IV line with a filter is recommended to prevent the infusion of any precipitates that may form. Using a large vein is not essential but may be preferable. Monitoring for hypertension and Stevens-Johnson syndrome is important but not related to the administration of intravenous phenytoin.

The Healthcare Provider Has Prescribed Intravenous Phenytoin (Dilantin) IV Piggyback