Patient is 32 year old female with a history of epilepsy since


Patient is 32 year old female with a history of epilepsy since childhood. Her seizures have been well-controlled and she takes phenytoin 100mg capsule orally two times a day. Her last phenytoin level was drawn 2 weeks ago, just before her wedding, and was 18 mcg/ml. Upon return from their honeymoon, the patient and her husband decide to start a family and the patient stops taking her phenytoin.

Three days after discontinuing her medication, the patient is brought to the emergency department in status epilepticus. Measures are taken to ensure safety and to prevent injury, an intravenous line is started. Orders per emergency department physician:

Lorazepam (Ativan) 4mg IV push STAT, may repeat dose X1 in 10 -15 minutes

1L 0.9% NS at 100ml/hr

phenytoin level STAT

continuous ECG

Seizure precautions

  1. Lorazepam is generally available in 2mg/ml or 4mg/ml vials, however, the only vial of lorazepam available in the ED pyxis is 40/10ml. how much medication will the nurse draw up into the syringe?
  2. What is the nurse’s primary concern when administering IV lorazepam?

The patient’s seizures finally stop after 2 doses of IV lorazepam and she regains consciousness several hours later. Patient’s phenytoin level results and is 7mcg/ml. What is the therapeutic range of phenytoin?

Neurology service is consulted and the neurologist orders phenytoin 15 mg/kg IV loading dose to be given STAT and start phenytoin one 100mg capsule orally 3X day in the am. What is a loading dose and why might a loading dose be ordered?

What is the maximum rate at which phenytoin can be infused intravenously?

A repeat phenytoin level 48 hours later is 24.2 mcg/ml. What is your concern with this level?

What effects may you observe with this phenytoin level?

Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

We value our customers and so we ensure that what we do is 100% original..
With us you are guaranteed of quality work done by our qualified experts.Your information and everything that you do with us is kept completely confidential.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

The Product ordered is guaranteed to be original. Orders are checked by the most advanced anti-plagiarism software in the market to assure that the Product is 100% original. The Company has a zero tolerance policy for plagiarism.

Read more

Free-revision policy

The Free Revision policy is a courtesy service that the Company provides to help ensure Customer’s total satisfaction with the completed Order. To receive free revision the Company requires that the Customer provide the request within fourteen (14) days from the first completion date and within a period of thirty (30) days for dissertations.

Read more

Privacy policy

The Company is committed to protect the privacy of the Customer and it will never resell or share any of Customer’s personal information, including credit card data, with any third party. All the online transactions are processed through the secure and reliable online payment systems.

Read more

Fair-cooperation guarantee

By placing an order with us, you agree to the service we provide. We will endear to do all that it takes to deliver a comprehensive paper as per your requirements. We also count on your cooperation to ensure that we deliver on this mandate.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages