WebDec 22, 2024 · The rate of intravenous Fosphenytoin Sodium Injection administration should not exceed 150 mg phenytoin sodium equivalents (PE) per minute in adults and 2 mg PE/kg/min (or 150 mg PE/min, whichever is slower) in pediatric patients because of the risk of severe hypotension and cardiac arrhythmias. WebPhenytoin special considerations: Check albumin level concurrently with phenytoin level Albumin-adjusted phenytoin level may be higher than reported i.e. levels that are at target (10-20) may actually be greater than 20 with hypoalbuminemia Levels may be hard to interpret for patients on HD or on valproic acid. Free phenytoin level may be ...
The Complete (but Practical) Guide to Phenytoin Dosing
WebCorrected Total Phenytoin Level In patients with hypoalbuminemia, a corrected equation must be used to account for reduced phenytoin protein binding. This calculator uses the average of the following correction equations. dostavi j.d.o.o
Corrected Phenytoin Calculator - Pharmacy Joe
WebPhenytoin IV administration Give phenytoin over 30-40 minutes (rate <50mg/minute). In patients who are elderly, or have pre-existing cardiac disease, give phenytoin over 60 minutes. N.B. Administration should commence immediately after the mixture has been prepared and completed within 1 hour. WebUse in patients with albumin ≤3.2 g/dL (32 g/L). The “Sheiner-Tozer Equation” is the official name of this correction. This updated formula uses an albumin coefficient of 0.275, and … Webwww.micromedexsolutions.com dostavio