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Patients taking phenytoin (Dilantin) for control of seizures must be aware of which adverse effect(s)? (Select all that apply.)

A.

Blood dyscrasias

B.

Hyperglycemia

C.

Urinary retention

D.

Gingival hyperplasia

E.

Sedation

Answer and Explanation

Correct Answer : A,D

A. Blood dyscrasias: This is a correct choice. Phenytoin can cause blood dyscrasias, including conditions like leukopenia, thrombocytopenia, and anemia.

B. Hyperglycemia: This is not typically associated with phenytoin. The primary adverse effects related to blood sugar are usually changes in glucose metabolism or hypoglycemia.

C. Urinary retention: This is not a common adverse effect of phenytoin. It is more associated with other medications or medical conditions.

D. Gingival hyperplasia: This is a correct choice. Phenytoin is known to cause gingival hyperplasia, which is an overgrowth of the gum tissue.

E. Sedation: This is not a common adverse effect of phenytoin. Phenytoin is more known for causing CNS-related side effects like nystagmus, ataxia, and dizziness.


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Related Questions

Correct Answer is A

Explanation

A. Increase the amount of dopamine and reduce the amount of acetylcholine:

This is the correct answer. Parkinson's disease is characterized by a deficiency of dopamine, so medications aim to increase dopamine levels. Additionally, reducing the activity of acetylcholine helps to restore the balance between these neurotransmitters.

B. Increase the amount of dopamine and acetylcholine:

This is not accurate. Increasing both dopamine and acetylcholine would not address the underlying imbalance seen in Parkinson's disease.

C. Reduce the amount of dopamine and increase the amount of acetylcholine:

This is incorrect. Parkinson's disease involves a reduction in dopamine levels, so reducing dopamine further would worsen the symptoms. Additionally, increasing acetylcholine is not the therapeutic goal in Parkinson's disease.

D. Reduce the amount of dopamine and acetylcholine:

This is not the correct approach. Decreasing both dopamine and acetylcholine would exacerbate the symptoms of Parkinson's disease, as the primary issue is the deficiency of dopamine.

Correct Answer is ["36"]

Explanation

To calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL, we need to use the following formula:

Infusion time (in minutes) = Volume (in mL) x Drop factor (in gtt/mL) / Flow rate (in gtt/min)

Plugging in the given values, we get:

Infusion time = 1,500 x 15 / 25

Infusion time = 900 / 25

Infusion time = 36

Therefore, the infusion time for this IV is 36 minutes.

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