WebThe primary purpose of the present study was to determine if altering the timing of phenytoin administration in relation to delivery of tube feedings increased serum phenytoin levels. Stopping tube feedings for two hours before and two hours after administration is a procedure that nurses could employ independently for better patient care. WebPhenytoin levels may decrease when the suspension is given with enteral feedings. This could lead to a loss of seizure control. You could interrupt the feeding for 2 hours before and after the phenytoin dose. Alternatively, you may give the phenytoin suspension diluted in water and flush the tube with water after administration.
Phenytoin (Dilantin) - Children
Web1. mar 1996 · ... 40 It is recommended that administration of phenytoin be separated from feeding by 1-2 hours (before or after) and to ensure adequate tube flush after each dose. … WebInhibition of phenytoin absorption by continuous nasogastric tube feeding was studied in 20 neurosurgery patients and 5 normal subjects. Ten patients receiving phenytoin suspension 300 mg per day coadministered with continuous nasogastric feedings had a mean phenytoin serum concentration of 2.59 micrograms per milliliter. care needs cheadle
Enteral feeding: Indications, complications, and nursing …
WebSerial plasma samples were collected after administration of 13 intravenous doses of phenytoin to 11 patients with head injury; 5 to patients who had been receiving enteral feeds for less than 5 days (group 1), and 8 to patients who had been receiving enteral feeds for longer than 5 days (group 2). Average plasma phenytoin concentrations were higher in … WebIt appears that this intervention procedure for increasing phenytoin serum levels in patients receiving tube feedings is not effective for the patient and is time-consuming for the nurse. The primary purpose of the present study was to determine if altering the timing of phenytoin administration in relation to delivery of tube feedings increased serum … WebIt is demonstrated in this study that loss of phenytoin to tubing is a function of pH. Nonionized phenytoin is irreversibly bound to NG tubing from solution at the pH of enteral … care needs during childhood