Question

The nurse is conducting discharge teaching related to a new prescription for phenytoin [Dilantin]. Which statements are appropriate to include in the teaching for this patient and family?

Answer 1

Discharge teaching for a patient prescribed phenytoin should include instructions on dosage adherence, side effect monitoring, and the necessity for regular blood tests to ensure therapeutic drug levels. Patients should be aware of potential medication interactions and communicate any concerns with their healthcare providers.

Step-by-step explanation:

The question pertains to the discharge teaching for a patient who has been prescribed phenytoin, a medication commonly used for the management of seizures. Appropriate statements to include in such teaching would emphasize the importance of adhering to the prescribed dosage, understanding potential side effects, and the need to regularly monitor therapeutic levels of the drug in the blood to avoid toxicity.

Some key points that might be discussed with the patient and their family include:

• The necessity to take phenytoin exactly as directed, without missing doses, to maintain consistent blood levels and control seizures.
• Recognition of side effects such as dizziness, changes in gait, or gum overgrowth, and the importance of communicating these to health care providers.
• Understanding that regular blood tests may be needed to ensure that phenytoin levels are within the therapeutic range.
• The potential interactions with other medications and the importance of consulting healthcare providers before starting or stopping any medication.