Y.W.'s medication list includes ranitidine (Zantac elixir) 150 mg per percutaneous
endoscopic gastrostomy (PEG) tube bid, phenytoin (Dilantin) 100 mg per PEG tube every
8 hours, propofol (Diprivan) 10 mcg/kg/min continuous intravenous (IV) infusion
, and
acetaminophen (Tylenol) 650 mg per PEG tube every 6 hours as needed for temperature
greater than 101.0 ° F. Indicate the reason Y.W. received each medication.
Ranitidine elixir reduces acid to help prevent stress ulcer. Phenytoin is given for prevention or control
of posttraumatic seizures. Antipyretics prevent hyperthermia and reduce metabolic needs. Cerebral
blood flow increases 5% to 6% for each 1° C rise in temperature. Propofol (Diprivan) is used to induce
anesthesia, maintain sedation, reduce elevated intracranial pressure, terminate seizure activity, and
facilitate ventilation.
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