You’re working in the ED when a 176 lb adult patient arrives…
You’re working in the ED when a 176 lb adult patient arrives with new-onset seizures. The physician diagnoses status epilepticus and orders a loading dose of phenytoin. You need to prepare the medication quickly and accurately. Patient: Adult, 176 lbOrder: Phenytoin 15 mg/kg IV loading doseAvailable: Phenytoin 250 mg/5 mL vials in the medication dispensing systemAdditional considerations: The patient has an 18-gauge peripheral IV in the left forearm. Phenytoin must be administered slowly to prevent cardiovascular complications. Your task: Calculate the dose in mL that you will draw up for administration. (round to the nearest whole number).
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