Question

A nurse is preparing to administer an intermittent IV bolus of phenytoin to a client who is receiving a continuous IV infusion of dextrose 5 % in water. The nurse is unfamiliar with the administration of phenytoin. Which of the following actions should the nurse take to ensure that the medication and IV solution are compatible?

Answer 1

To ensure compatibility between phenytoin and the dextrose 5% in water IV solution, the nurse should consult references, check for specific instructions, dilute the phenytoin properly, and use a filter if necessary.

Step-by-step explanation:

When preparing to administer an intermittent IV bolus of phenytoin to a client who is receiving a continuous IV infusion of dextrose 5% in water, the nurse should take the following actions to ensure that the medication and IV solution are compatible:

1. Consult a reliable drug reference or pharmacist to confirm the compatibility of phenytoin with dextrose 5% in water.
2. Check for any specific instructions or guidelines provided by the manufacturer for the preparation and administration of phenytoin.
3. Ensure proper dilution of the phenytoin according to the recommended concentration and volume specified by the healthcare provider.
4. If necessary, use a filter or special administration set to prevent any particulate matter or precipitates from entering the IV line.

By following these steps, the nurse can ensure the safe and effective administration of phenytoin to the client.