PHENYTOIN (DILANTIN)
Class: Antiarrhythmic, anticonvulsant
Action: Depresses spontaneous depolarization of ventricular tissues and appears to improve atrioventricular conduction. Onset of action is longer than valium.
Indications: Major motor seizures. Status epilepticus. Arrhythmias caused by digitalis toxicity.
Contraindications: Bradycardia, High degree heart blocks, Patients who take drugs for seizures, Hypersensitivity.
Precautions: Elderly. Extravasation should be avoided.
Side Effects: Drowsiness. Headache. Hypotension. Arrhythmias. Itching/rash.
Dosage:
Loading: 10-15 mg/kg IV no faster than 50 mg/min
*Dilute with NS because D5W causes precipitation of the drug.