Question

The healthcare provider has prescribed intravenous phenytoin​ (Dilantin) IV piggyback. The client is currently receiving​ 5% dextrose in water​ (D5W) intravenously​ (IV). Which action should the nurse​ take? select all that apply.

a. Use a large vein for the infusion.
b. Use an intravenous​ (IV) line with a filter.
c. Flush the intravenous​ (IV) line with saline.
d. Monitor the patient for hypertension.
e. Monitor the patient for​ Stevens-Johnson syndrome.

Answer 1

When administering IV phenytoin (Dilantin) piggyback to a patient receiving D5W, the nurse should use a large vein, an IV line with a filter, and flush the line with saline.

Step-by-step explanation:

When a healthcare provider prescribes intravenous phenytoin (Dilantin) IV piggyback to a patient who is already receiving 5% dextrose in water (D5W) intravenously (IV), the nurse should take the following actions:

1. Use a large vein for the infusion: Phenytoin can cause irritation to smaller veins, so a large vein should be used to prevent complications.
2. Use an intravenous (IV) line with a filter: A filter should be used to prevent any particles or impurities in the medication from reaching the patient's bloodstream.
3. Flush the intravenous (IV) line with saline: Flushing the line with saline before and after administering the medication helps ensure proper flow and clears any residue.