Question

A client is being treated with phenytoin for treatment of seizures. what should the nurse monitor to prevent toxic reactions to drugs in a client?

Answer 1

Phenytoin is being used to treat a patient's epilepsy. To avoid harmful drug reactions in the patient, the nurse should keep an eye on the client's blood levels of the medication.

• The nurse should keep an eye on the client's blood drug level to make sure it stays within the therapeutic range. Toxicity cannot be avoided by keeping an eye on blood pressure, urine frequency, or seizure activity. It might be used to gauge the client's therapy progress.
• Serum drug monitoring is necessary because phenytoin has a restricted therapeutic drug level, often between 10 and 20 mcg/ml. Nervous system reactions are the most frequent side effects of phenytoin medication and are typically dose-related. Nystagmus, slurred speech, ataxia, poor coordination, sleepiness, and disorientation are all reactions.
• Phenytoin is used to treat and prevent seizures that may start during or after brain or nervous system surgery, as well as to control some types of seizures. The medication phenytoin is a member of the anticonvulsant medicine class.

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