Preparation for Phenytoin 200 mg Oral Administration- A Nurse’s Dose Calculation and Preparation Process

A nurse is preparing to administer phenytoin 200 mg po, a crucial medication for managing seizures in patients with epilepsy. This task requires careful attention to detail and adherence to strict protocols to ensure patient safety and efficacy of the treatment. In this article, we will delve into the process of preparing and administering phenytoin, highlighting the importance of proper medication management in the healthcare setting.

The nurse begins by reviewing the patient’s medical history and current medication list to confirm the appropriateness of phenytoin administration. As an anticonvulsant, phenytoin is commonly prescribed for the treatment of various types of seizures, including generalized tonic-clonic seizures, partial seizures, and psychomotor seizures. It is essential to ensure that the patient has been diagnosed with epilepsy and that phenytoin is the appropriate medication for their specific seizure type.

Next, the nurse checks the medication order for the correct dosage and route of administration. In this case, the order specifies 200 mg of phenytoin to be administered orally (po). The nurse verifies the medication against the patient’s name, ensuring that the correct medication is being dispensed. This step is crucial in preventing medication errors, which can have serious consequences for patients.

To prepare the phenytoin, the nurse retrieves the medication from the medication cabinet, ensuring that it is stored at the appropriate temperature and in a secure location. The nurse then checks the expiration date of the medication to ensure it is still effective. It is essential to use medication within its expiration date to maintain its potency and efficacy.

The nurse proceeds to measure the 200 mg of phenytoin using a syringe and needle, being cautious to avoid contamination. It is important to use a syringe with the appropriate gauge and needle length for the patient’s age and condition. The nurse then transfers the medication into a disposable cup, which is labeled with the patient’s name, date, and time of administration.

Before administering the medication, the nurse assesses the patient’s current condition, including vital signs and any signs of seizure activity. It is crucial to ensure that the patient is awake and alert before administering phenytoin, as it can cause drowsiness and other side effects. The nurse also asks the patient if they have any allergies to phenytoin or other medications.

Once the patient is prepared, the nurse administers the phenytoin 200 mg po by placing the cup on the patient’s bedside table and instructing them to swallow the medication with water. It is important to provide clear instructions to the patient to ensure they understand how to take the medication correctly. The nurse then documents the administration in the patient’s medical record, including the time, dosage, and any observations made during the administration process.

In conclusion, the process of preparing and administering phenytoin 200 mg po requires meticulous attention to detail and adherence to strict protocols. By following these steps, healthcare professionals can ensure patient safety and the efficacy of the treatment. Proper medication management is a critical aspect of healthcare, and it is essential for all healthcare providers to prioritize patient care and prevent medication errors.