What is a guideline for the nurse when administering phenytoin (Dilantin) intravenously?
a. Deliver rapidly.
b. Monitor for signs of tachycardia.
c. Assess for hypertensive crisis.
d. Administer without mixing with other medications.
ANS: D
Phenytoin should not be mixed in the same syringe with other medications or added to other intravenous (IV) solutions because a precipitate will form. Phenytoin should be administered slowly at a rate of 25 to 50 mg/min. Patients should be monitored with an ECG closely for bradycardia. Patients should be monitored for hypotension.
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